{"reporting_entity_name":"Molina-Healthcare-of-Texas","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-08-11","version":"2.0.0","provider_references":[{"provider_group_id":216572,"network_name":["CHRISTUS SE PHO NETWORK IPA","IN NETWORK"],"provider_groups":[{"npi":[1477585180],"tin":{"type":"ein","value":"742009611","business_name":"RICHARD SCHLEIFFER DPM APC"}},{"npi":[1518063072],"tin":{"type":"ein","value":"760500634","business_name":"GOLDEN TRIANGLE FOOT AND ANKLE SPECIALISTS PA"}},{"npi":[1023063195],"tin":{"type":"ein","value":"411921031","business_name":"FREDERICK E QUIRANTE DPM"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9354","description":"1 CT SCAN/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3319F","description":"1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3120F","description":"12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4559F","description":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4559F","description":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT and DSCHG SM DAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99223","description":"1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99222","description":"1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":527.6774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":527.6774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":527.6774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":527.6774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4145F","description":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4145F","description":"2 PLUS ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"D0340","description":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR AND ANALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4165F","description":"3D-CRT OR INTENSITY MODUL RAD THXPY RECVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5012","description":"5 PCT DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5014","description":"5 PCT DEXTROSE/0.45 PCT NL SALINE W/KCL and MGSO4 1500 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5013","description":"5 PCT DXTROS/0.45 PCT NL SALINE KCL and MGSO4 1000 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9658","description":"A TRANSFER OF CARE PROT/HANDOFF TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9655","description":"A TRANSFER OF CARE PROTOCOL/H/O TOOL/CHECKLIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9598","description":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT/MIN DIA AX CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9599","description":"AA 6.0 CM OR GT MAX DIA CL FRMT CT/MIN DIA AX FRMT CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION MAL PRST8 TISS MAGNETIC FIELD INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0739T","description":"ABLATION MAL PRST8 TISS MAGNETIC FIELD INDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER 1 PLUS PULM TUMORS PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32994","description":"ABLATION THER 1 PLUS PULM TUMORS PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2912.9693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2912.9693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS PULM TUMORS PERQ CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32994","description":"ABLATION THER 1 PLUS PULM TUMORS PERQ CRYOABLATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2912.9693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2912.9693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32998","description":"ABLATION THER 1 PLUS PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1891.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1891.7034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION THER 1 PLUS PULM TUMORS PERQ RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32998","description":"ABLATION THER 1 PLUS PULM TUMORS PERQ RADIOFREQUENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1891.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1891.7034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20983","description":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":3142.8009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3142.8009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20983","description":"ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":3142.8009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3142.8009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3293F","description":"ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8749","description":"ABSENCE SIGNS MELANOMA/ABSENCE SYMPTOMS MELANOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINR CAST METL FPD PREDOM BASE METL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6073","description":"ABUT RETAINR CAST METL FPD PREDOM BASE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINR CAST METL FPD PREDOM BASE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6073","description":"ABUT RETAINR CAST METL FPD PREDOM BASE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINR PORCELN TO METL FPD HI NOBL METL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6069","description":"ABUT RETAINR PORCELN TO METL FPD HI NOBL METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINR PORCELN TO METL FPD HI NOBL METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6069","description":"ABUT RETAINR PORCELN TO METL FPD HI NOBL METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETN PORCELN TO METL FPD PREDOM BASE METL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6070","description":"ABUT RETN PORCELN TO METL FPD PREDOM BASE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETN PORCELN TO METL FPD PREDOM BASE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6070","description":"ABUT RETN PORCELN TO METL FPD PREDOM BASE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN TO METAL CROWN NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6061","description":"ABUT SUPP PORCELAIN TO METAL CROWN NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN TO METAL CROWN NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6061","description":"ABUT SUPP PORCELAIN TO METAL CROWN NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN TO METL CROWN HI NOBLE METL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6059","description":"ABUT SUPP PORCELAIN TO METL CROWN HI NOBLE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN TO METL CROWN HI NOBLE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6059","description":"ABUT SUPP PORCELAIN TO METL CROWN HI NOBLE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN TO MTL CROWN PREDOM BASE MTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6060","description":"ABUT SUPP PORCELAIN TO MTL CROWN PREDOM BASE MTL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN TO MTL CROWN PREDOM BASE MTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6060","description":"ABUT SUPP PORCELAIN TO MTL CROWN PREDOM BASE MTL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER PORCELAIN CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6068","description":"ABUT SUPPORTED RETAINER PORCELAIN CERAMIC FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER PORCELAIN/CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6068","description":"ABUT SUPPORTED RETAINER PORCELAIN/CERAMIC FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER PORCELAIN/CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6068","description":"ABUT SUPPORTED RETAINER PORCELAIN/CERAMIC FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER PORCELN FUSED METAL FPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6071","description":"ABUT SUPPORTED RETAINER PORCELN FUSED METAL FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER PORCELN FUSED METAL FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6071","description":"ABUT SUPPORTED RETAINER PORCELN FUSED METAL FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINR CAST METAL FPD NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6074","description":"ABUTMENT RETAINR CAST METAL FPD NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINR CAST METAL FPD NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6074","description":"ABUTMENT RETAINR CAST METAL FPD NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST METAL CROWN HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6062","description":"ABUTMENT SUPP CAST METAL CROWN HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST METAL CROWN HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6062","description":"ABUTMENT SUPP CAST METAL CROWN HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST METAL CROWN NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6064","description":"ABUTMENT SUPP CAST METAL CROWN NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST METAL CROWN NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6064","description":"ABUTMENT SUPP CAST METAL CROWN NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST METAL CROWN PREDOM BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6063","description":"ABUTMENT SUPP CAST METAL CROWN PREDOM BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST METAL CROWN PREDOM BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6063","description":"ABUTMENT SUPP CAST METAL CROWN PREDOM BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D6094","description":"ABUTMENT SUPP CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAIN CROWN FPD - TIT AND TIT ALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6194","description":"ABUTMENT SUPP RETAIN CROWN FPD - TIT AND TIT ALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAIN CROWN FPD - TIT AND TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6194","description":"ABUTMENT SUPP RETAIN CROWN FPD - TIT AND TIT ALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED PORCELAIN CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6058","description":"ABUTMENT SUPPORTED PORCELAIN CERAMIC CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED PORCELAIN/CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6058","description":"ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED PORCELAIN/CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6058","description":"ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER FOR CAST METAL FPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6072","description":"ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORTED RETAINER FOR CAST METAL FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6072","description":"ABUTMENT SUPPORTED RETAINER FOR CAST METAL FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9505","description":"ABX REG PRSC W/I 10 DA AFTR ONSET SX DOC MED RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9287","description":"ABX REGIMEN NOT PRSCR W/I 10 DA AFTR ONSET SX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9286","description":"ABX REGIMEN PRSC W/I 10 DA AFTER ONSET SX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0474","description":"ACCESS TISS GR AND MIC EX ASSESS SURG MARG PREP RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0474","description":"ACCESS TISS GR and MIC EX ASSESS SURG MARG PREP/RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0473","description":"ACCESS TISSUE GR AND MIC EXAMINATION PREP REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0473","description":"ACCESS TISSUE GR and MIC EXAMINATION PREP/REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0472","description":"ACCESSION OF TISSUE GROSS EXAMINATION PREP REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0472","description":"ACCESSION OF TISSUE GROSS EXAMINATION PREP/REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4010F","description":"ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4210F","description":"ACE/ARB MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0480","description":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP REPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0480","description":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP/REPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7604","description":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4709","description":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4708","description":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2032","description":"ACTIVITY THERAPY PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0176","description":"ACTV TX REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4250F","description":"ACTV WRMNG INTRAOP FOR NORMOTHERMIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUP 1 OR GT NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97814","description":"ACUP 1 OR GT NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ","negotiated_rates":[{"provider_references":[216572],"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":"ACUPUNCTURE 1 OR GT NDLES W/O ELEC STIMJ INIT 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97810","description":"ACUPUNCTURE 1 OR GT NDLES W/O ELEC STIMJ INIT 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT NDLS W/ELEC STIMJ 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97813","description":"ACUPUNCTURE 1 OR GT NDLS W/ELEC STIMJ 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97813","description":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97813","description":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97814","description":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97814","description":"ACUPUNCTURE 1 OR GT NDLS W/ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"ACUPUNCTURE 1 OR GT NDLS W/O ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97811","description":"ACUPUNCTURE 1 OR GT NDLS W/O ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97810","description":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97810","description":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97811","description":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97811","description":"ACUPUNCTURE 1 OR GT NDLS W/O ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4130F","description":"ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0373T","description":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5660","description":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5660","description":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2971","description":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2971","description":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROC NEW CRWN UND XSTING PART DENTUR FRMEWRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2971","description":"ADD PROC NEW CRWN UND XSTING PART DENTUR FRMEWRK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TOOTH TO EXISTING PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5650","description":"ADD TOOTH TO EXISTING PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TOOTH TO EXISTING PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5650","description":"ADD TOOTH TO EXISTING PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UPR EXT PROS PART HND F UL MATL TI CO FIB/ Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6032","description":"ADD UPR EXT PROS PART HND F UL MATL TI CO FIB/ Equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UPR EXT PROS PART HND F UL MATL TI CO FIB/ Equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6032","description":"ADD UPR EXT PROS PART HND F UL MATL TI CO FIB/ Equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.05,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UPPER EXT PROS PARTIAL HND ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6033","description":"ADDITION UPPER EXT PROS PARTIAL HND ACRYLIC MATL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UPPER EXT PROS PARTIAL HND ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6033","description":"ADDITION UPPER EXT PROS PARTIAL HND ACRYLIC MATL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42830","description":"ADENOIDECTOMY PRIMARY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42830","description":"ADENOIDECTOMY PRIMARY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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(S)/NEOPLASM DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3775F","description":"ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3776F","description":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3776F","description":"ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90476","description":"ADENOVIRUS VACCINE TYPE 4 LIVE ORAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90477","description":"ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8855","description":"ADH TX NOT ASSD ANNU THRU OBJ INFO SYS/SR NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"ADHERENCE TX ASSD ANNU THU OBJ INFO SYS/SELF-RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6413","description":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2083","description":"ADJ GASTRIC BAND DIAM SUBQ PORT INJ/ASPIR SALINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":871.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":871.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":743.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":743.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.83,"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":null,"billing_code":"D0431","description":"ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY BX PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0431","description":"ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY/BX PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3001","description":"ADJUNCTIVE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5411","description":"ADJUST COMPLETE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5410","description":"ADJUST COMPLETE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5992","description":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5422","description":"ADJUST PARTIAL DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5421","description":"ADJUST PARTIAL DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUVANT HORMONAL THXPY RX/ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4164F","description":"ADJUVANT HORMONAL THXPY RX/ADMIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4180F","description":"ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9510","description":"ADLT PT 18 OR GT MD NO REM 12 MO DEM 12 MO PHQ-9 LT 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1502","description":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STD EVID-BAS SOCIAL DET HLTH RISK 5-15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0136","description":"ADMIN STD EVID-BAS SOCIAL DET HLTH RISK 5-15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"ADMIN STD EVID-BAS SOCIAL DET HLTH RISK 5-15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0136","description":"ADMIN STD EVID-BAS SOCIAL DET HLTH RISK 5-15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0537","description":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0537","description":"ADMINISTRATION ASCVD RISK ASSESSMENT EVERY 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HEPATITIS B VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0010","description":"ADMINISTRATION OF HEPATITIS B VACCINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HEPATITIS B VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0010","description":"ADMINISTRATION OF HEPATITIS B VACCINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF NITROUS OXIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9230","description":"ADMINISTRATION OF NITROUS OXIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN MED NOT ORAL and OR INJ HLTH AGENCY/PROF VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1503","description":"ADMN MED NOT ORAL and OR INJ HLTH AGENCY/PROF VST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2107","description":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2103","description":"ADRENAL TISSUE TRANSPLANT TO BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9509","description":"ADULT 18 YR/OLDER MD/DYSTHYMIA REMISS AT 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN TLKD AND ALT DCSN MAKER DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1123F","description":"ADV CARE PLN TLKD AND ALT DCSN MAKER DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1124F","description":"ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0558","description":"ADV PRICARE MGMT SRV PT MCR BENE MX CHR COND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99498","description":"ADVANCE CARE PLANNING EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99498","description":"ADVANCE CARE PLANNING EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING FIRST 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99497","description":"ADVANCE CARE PLANNING FIRST 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCE CARE PLANNING FIRST 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99497","description":"ADVANCE CARE PLANNING FIRST 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0557","description":"ADVANCED PRICARE MGMT SRV PT MX 2/MORE CHR COND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[216572],"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":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0556","description":"ADVANCED PRICARE MGMT SRVC PT ONE CHR COND/FEWER","negotiated_rates":[{"provider_references":[216572],"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":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1157F","description":"ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1158F","description":"ADVNC CARE PLANNING TLK DOCD IN MED RCRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1933","description":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1933","description":"AFO RGD ANT TIB SECT TTL CO FIB/ Equal to MATL PREFAB OTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1952","description":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1952","description":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"AHI RDI/REI NO DOC 2 MO AFT INI SUS OSA NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8842","description":"AHI/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3370F","description":"AJCC BREAST CANCER STAGE 0 DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9704","description":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9705","description":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3374F","description":"AJCC BREAST CANCER STAGE I T1C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3372F","description":"AJCC BREAST CANCER STAGE I T1MIC T1A/T1B","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3376F","description":"AJCC BREAST CANCER STAGE II","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3378F","description":"AJCC BREAST CANCER STAGE III","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC BREAST CANCER STAGE IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3380F","description":"AJCC BREAST CANCER STAGE IV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC CANCER STAGE 0 OR IA MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3321F","description":"AJCC CANCER STAGE 0 OR IA MELANOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3382F","description":"AJCC COLON CANCER STAGE 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3384F","description":"AJCC COLON CANCER STAGE I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3386F","description":"AJCC COLON CANCER STAGE II","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE III DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3388F","description":"AJCC COLON CANCER STAGE III DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC COLON CANCER STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3390F","description":"AJCC COLON CANCER STAGE IV DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8944","description":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9831","description":"AJCC STAGE AT BREAST CANCER DIAGNOSIS Equal to II / III","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3300F","description":"AJCC STAGE DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3300F","description":"AJCC STAGE DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BC DX Equal to I and T-STG DOES NOT Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BC DX Equal to I and T-STG DOES NOT Equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9832","description":"AJCC STG BRST CA DX Equal to I AND T-STG BRST CA DX Equal","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1071F","description":"ALARM SYMPTOMS ASSESSED 1 OR GT PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALARM SYMPTOMS ASSESSED NONE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1070F","description":"ALARM SYMPTOMS ASSESSED NONE PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0048","description":"ALC and /OTH RX TST: CLCT and HNDLING ONLY OTH THAN BLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0003","description":"ALCOHL and / RX SCR; LAB ANALY PRESENC ALCOHL and / RX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0028","description":"ALCOHL and /RX PREV PROB ID and REF SRVC NOT W/ASSESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0026","description":"ALCOHL and /RX PREVENTION PROCESS SERVICE CMTY-BASED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0015","description":"ALCOHL and /RX SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0015","description":"ALCOHL and /RX SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2034","description":"ALCOHOL AND OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0029","description":"ALCOHOL AND OR DRUG PREVENTION ALTERNATIVES SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0027","description":"ALCOHOL AND OR DRUG PREVENTION ENVIR SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0009","description":"ALCOHOL AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0014","description":"ALCOHOL AND OR DRUG SERVICES; AMB DETOXIFICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0007","description":"ALCOHOL AND OR DRUG SERVICES; CRISIS INTERVENTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0008","description":"ALCOHOL AND OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2036","description":"ALCOHOL AND OR OTH DRUG TREATMENT PROGRAM PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0011","description":"ALCOHOL and / DRUG SERVICES; ACUTE DTOX RES PROG IP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0011","description":"ALCOHOL and / DRUG SERVICES; ACUTE DTOX RES PROG IP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0013","description":"ALCOHOL and / DRUG SERVICES; ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0010","description":"ALCOHOL and / DRUG SRVC; SUB-ACUTE DTOX RES PROG IP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0397","description":"ALCOHOL and / SUBST MISUSE ST ASMT and INTERV GT 30 MI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUB MISUSE ST ASMT and BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0396","description":"ALCOHOL and /SUB MISUSE ST ASMT and BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"T1006","description":"ALCOHOL and OR SUBSTANCE ABS SRVC FAM/COUPLE CNSL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0022","description":"ALCOHOL AND/OR DRUG INTERVENTION SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0006","description":"ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0021","description":"ALCOHOL AND/OR DRUG TRAINING SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1012","description":"ALCOHOL and /SUBSTANCE ABS SERVICES SKILLS DVLP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99408","description":"ALCOHOL/SUBSTANCE SCREEN and INTERVEN 15-30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL/SUBSTANCE SCREEN and INTERVENTION GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99409","description":"ALCOHOL/SUBSTANCE SCREEN and INTERVENTION GT 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"A9280","description":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.12,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.97,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS MILEAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0390","description":"ALS MILEAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MILEAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0390","description":"ALS MILEAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A0396","description":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A0394","description":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A0392","description":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4144F","description":"ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY NOT W EXTRACTIONS 4 OR GRT TEETH SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7320","description":"ALVEOLOPLASTY NOT W EXTRACTIONS 4 OR GRT TEETH SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY NOT W/EXTRACTIONS 4 OR GT TEETH/SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7320","description":"ALVEOLOPLASTY NOT W/EXTRACTIONS 4 OR GT TEETH/SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY NOT W/EXTRACTIONS 4 OR GT TEETH/SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7320","description":"ALVEOLOPLASTY NOT W/EXTRACTIONS 4 OR GT TEETH/SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY W EXTRACTION 4 OR GRT TEETH SPACE QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7310","description":"ALVEOLOPLASTY W EXTRACTION 4 OR GRT TEETH SPACE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY W/EXTRACTION 4 OR GT TEETH/SPACE QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7310","description":"ALVEOLOPLASTY W/EXTRACTION 4 OR GT TEETH/SPACE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY W/EXTRACTION 4 OR GT TEETH/SPACE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7310","description":"ALVEOLOPLASTY W/EXTRACTION 4 OR GT TEETH/SPACE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7311","description":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH SPACES QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7311","description":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7311","description":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH SPCE QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7321","description":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH SPCE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7321","description":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7321","description":"ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - CLOSED REDUCTION MAY INC STABIL TEETH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7670","description":"ALVEOLUS - CLOSED REDUCTION MAY INC STABIL TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - CLOSED REDUCTION MAY INC STABIL TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7670","description":"ALVEOLUS - CLOSED REDUCTION MAY INC STABIL TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - OPEN RDUC MAY INCL STABILIZATN TEETH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7671","description":"ALVEOLUS - OPEN RDUC MAY INCL STABILIZATN TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - OPEN RDUC MAY INCL STABILIZATN TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7671","description":"ALVEOLUS - OPEN RDUC MAY INCL STABILIZATN TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7770","description":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7770","description":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7771","description":"ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7771","description":"ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-FOUR MORE SURFACES PRIMARY PERMANENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2161","description":"AMALGAM-FOUR MORE SURFACES PRIMARY PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2161","description":"AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2161","description":"AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-ONE SURFACE PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2140","description":"AMALGAM-ONE SURFACE PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-ONE SURFACE PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2140","description":"AMALGAM-ONE SURFACE PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-THREE SURFACES PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2160","description":"AMALGAM-THREE SURFACES PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-THREE SURFACES PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2160","description":"AMALGAM-THREE SURFACES PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-TWO SURFACES PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2150","description":"AMALGAM-TWO SURFACES PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMALGAM-TWO SURFACES PRIMARY OR PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2150","description":"AMALGAM-TWO SURFACES PRIMARY OR PERMANENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9960","description":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9961","description":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OUTSIDE STATE PER MILE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0021","description":"AMB SERVICE OUTSIDE STATE PER MILE TRANSPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OUTSIDE STATE PER MILE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0021","description":"AMB SERVICE OUTSIDE STATE PER MILE TRANSPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9475","description":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEONAT TRNSPRT BASE RATE EMERG 1 WAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0225","description":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEONAT TRNSPRT BASE RATE EMERG 1 WAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0225","description":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESPONSE AND TREATMENT NO TRANSPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0998","description":"AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESPONSE AND TREATMENT NO TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0998","description":"AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9313","description":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"A4774","description":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1961.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1961.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2014.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2014.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1961.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1961.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2014.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2014.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":2038.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2038.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4239","description":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":2038.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2038.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.64,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4151","description":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":1370.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBIND OR DERMABIND TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4225","description":"AMNIOBIND OR DERMABIND TL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":1370.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4137","description":"AMNIOEXCEL AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.68,"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":null,"billing_code":"Q4139","description":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":519.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":519.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"AMOXICILLIN W/WO CLAVULN RX 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS OF SALIVA SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0418","description":"ANALYSIS OF SALIVA SAMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0418","description":"ANALYSIS SALIVA SAMPLE LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0170","description":"ANASTROZOLE ORAL 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP 1-3 TEETH BND TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4231","description":"ANAT CROWN EXP 1-3 TEETH BND TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP 1-3 TEETH/BND TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4231","description":"ANAT CROWN EXP 1-3 TEETH/BND TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP 1-3 TEETH/BND TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4231","description":"ANAT CROWN EXP 1-3 TEETH/BND TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP-4 OR GRT CONT TEETH BND TT SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4230","description":"ANAT CROWN EXP-4 OR GRT CONT TEETH BND TT SPACES QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP-4 OR GT CONT TEETH/BND TT SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4230","description":"ANAT CROWN EXP-4 OR GT CONT TEETH/BND TT SPACES QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAT CROWN EXP-4 OR GT CONT TEETH/BND TT SPACES QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4230","description":"ANAT CROWN EXP-4 OR GT CONT TEETH/BND TT SPACES QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEMIA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516F","description":"ANEMIA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4560F","description":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4560F","description":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1012F","description":"ANGINA ABSENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1011F","description":"ANGINA PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1002F","description":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1002F","description":"ANGINAL SYMPTOMS AND LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0446","description":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0446","description":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"S0613","description":"ANNUAL GYN EXAM CLIN BREAST EXAM W/O PELV EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0612","description":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0610","description":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0438","description":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0438","description":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0439","description":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0439","description":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":332.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":332.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":377.3166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":377.3166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":332.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":332.6596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":377.3166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":377.3166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46601","description":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46601","description":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46607","description":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT W/BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46607","description":"ANOSCOPY DX W/HRA and CHEM AGNTS ENHANCEMENT W/BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"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":null,"billing_code":"0656T","description":"ANT LUMBAR/TLMBR VRT BODY TETHRG LT 7VRT SEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0224U","description":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0224U","description":"ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":690.8041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":690.8041,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":690.8041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":690.8041,"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":null,"billing_code":"90581","description":"ANTHRAX VACCINE SUBCUTANEOUS/IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4178F","description":"ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9839","description":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4016F","description":"ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1007F","description":"ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4124F","description":"ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8712","description":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC PRESCRIBED OR DISPENSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4120F","description":"ANTIBIOTIC PRESCRIBED OR DISPENSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBIOTIC REGIMEN PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9498","description":"ANTIBIOTIC REGIMEN PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86701","description":"ANTIBODY HIV-1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86689","description":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[216572],"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":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93793","description":"ANTICOAGULANT MGMT FOR PT TAKING WARFARIN","negotiated_rates":[{"provider_references":[216572],"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":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4075F","description":"ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S9401","description":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICONVUL MED THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4230F","description":"ANTICONVUL MED THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4064F","description":"ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4063F","description":"ANTIDEPRESSANT RXTHXY CONSIDER AND NOT PRESCRIBE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8597","description":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J8498","description":"ANTIEMETIC DRUG RECTAL/SUPPOSITORY NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4134F","description":"ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4133F","description":"ANTIHISTAMINE/DECONGESTANT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4065F","description":"ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISPERM ANTIBODIES TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3655","description":"ANTISPERM ANTIBODIES TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FASTING/DIR LDL-C LAB TEST RSLT LT or equal to 190 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY FASTING/DIR LDL-C LAB TEST RSLT LT or equal to 190 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9663","description":"ANY LDL-C LABORATORY RESULT GT or equal to 190 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9002F","description":"AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9004F","description":"AORTIC ANEURYSM 6 OR GT CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9001F","description":"AORTIC ANEURYSM LT 5CM MAX DIAM CENTERLINE/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9003F","description":"AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION RECALCIFICATION - FINAL VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3353","description":"APEXIFICATION RECALCIFICATION - FINAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION RECALCIFICATION INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3351","description":"APEXIFICATION RECALCIFICATION INITIAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION RECALCIFICATN INTERIM MED REPLACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3352","description":"APEXIFICATION RECALCIFICATN INTERIM MED REPLACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATION - FINAL VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3353","description":"APEXIFICATION/RECALCIFICATION - FINAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATION - FINAL VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3353","description":"APEXIFICATION/RECALCIFICATION - FINAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATION INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3351","description":"APEXIFICATION/RECALCIFICATION INITIAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATION INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3351","description":"APEXIFICATION/RECALCIFICATION INITIAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATN INTERIM MED REPLACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3352","description":"APEXIFICATION/RECALCIFICATN INTERIM MED REPLACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APEXIFICATION/RECALCIFICATN INTERIM MED REPLACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3352","description":"APEXIFICATION/RECALCIFICATN INTERIM MED REPLACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICALLY POSITIONED FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4245","description":"APICALLY POSITIONED FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICALLY POSITIONED FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4245","description":"APICALLY POSITIONED FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3426","description":"APICOECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3426","description":"APICOECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3410","description":"APICOECTOMY - ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3410","description":"APICOECTOMY - ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - MOLAR FIRST ROOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3425","description":"APICOECTOMY - MOLAR FIRST ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - MOLAR FIRST ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3425","description":"APICOECTOMY - MOLAR FIRST ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3421","description":"APICOECTOMY - PREMOLAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APICOECTOMY - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3421","description":"APICOECTOMY - PREMOLAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8844","description":"APNEA HYPOPNA IND/RDI NOT MSR TM DX RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOL1 RISK VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0355U","description":"APOL1 RISK VARIANTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":282.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":282.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.5626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.5626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":282.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":282.9056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.5626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.5626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":391.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":391.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":457.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":457.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":587.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":587.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":391.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":391.3917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":457.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":457.7694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":587.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":587.5319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 OR GT AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 OR GT AREAS ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97014","description":"APPL MODALITY 1 OR GT AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 OR GT AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 OR GT AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97018","description":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97018","description":"APPL MODALITY 1 OR GT AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97012","description":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97012","description":"APPL MODALITY 1 OR GT AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 OR GT AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97028","description":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97028","description":"APPL MODALITY 1 OR GT AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97016","description":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97016","description":"APPL MODALITY 1 OR GT AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97034","description":"APPL MODALITY 1 Plus AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 Plus AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.07,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97036","description":"APPL MODALITY 1 Plus AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97033","description":"APPL MODALITY 1 Plus AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97035","description":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7997","description":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7997","description":"APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DESENZT RSN CERV AND OR ROOT SURF-TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9911","description":"APPLIC DESENZT RSN CERV AND OR ROOT SURF-TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8948","description":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D1354","description":"APPLICATION CARIES ARREST MEDICAMENT-PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT AREAS DIATHERMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS HOT/COLD PACKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97010","description":"APPLICATION MODALITY 1 OR GT AREAS HOT/COLD PACKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT AREAS INFRARED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":920.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":920.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":920.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF DESENSITIZING MEDICAMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9910","description":"APPLICATION OF DESENSITIZING MEDICAMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4188F","description":"APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4191F","description":"APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4189F","description":"APPROP DIGOXIN THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4190F","description":"APPROP DIURETIC THXP MONIT TST ORDRD/DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROP METHOD OFFLOADING PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4269F","description":"APPROP METHOD OFFLOADING PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4045F","description":"APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4056F","description":"APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"0742T","description":"AQMBF SPECT W/EXERCISE/RX STRESS and REST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[216572],"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":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93050","description":"ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE","negotiated_rates":[{"provider_references":[216572],"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":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":172.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT WOUND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4169","description":"ARTACENT WOUND PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":172.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.54,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":665.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":665.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27279","description":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27279","description":"ARTHRD SI JT PLMT TRANSARTICULAR and /I-ARTIC DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":604.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":635.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":604.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":635.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7870","description":"ARTHROCENTESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7870","description":"ARTHROCENTESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20606","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20611","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20604","description":"ARTHROCNT ASPIR and /INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":808.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":818.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":848.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":808.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":818.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":848.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.37,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":987.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":987.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27279","description":"ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27279","description":"ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROEREISIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2117","description":"ARTHROEREISIS SUBTALAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4125","description":"ARTHROFLEX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7865","description":"ARTHROPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7865","description":"ARTHROPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":889.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":933.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":949.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":889.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":933.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":949.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":769.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":781.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":808.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":769.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":781.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":808.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPE SHLDR SURG; W/THERML-INDUCD CPSLORR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2300","description":"ARTHROSCOPE SHLDR SURG; W/THERML-INDUCD CPSLORR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":810.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":851.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":810.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":851.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2112","description":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":541.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":541.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY-DIAGNOSIS WITH OR WITHOUT BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7872","description":"ARTHROSCOPY-DIAGNOSIS WITH OR WITHOUT BIOPSY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-DIAGNOSIS WITH OR WITHOUT BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7872","description":"ARTHROSCOPY-DIAGNOSIS WITH OR WITHOUT BIOPSY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7877","description":"ARTHROSCOPY: DEBRIDEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7874","description":"ARTHROSCOPY: DISC REPOSITIONING AND STABILIZATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7876","description":"ARTHROSCOPY: DISCECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7873","description":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7875","description":"ARTHROSCOPY: SYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7860","description":"ARTHROTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7860","description":"ARTHROTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25448","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":445.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":445.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25448","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":445.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":445.3542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT TALUS and /TIB DRLG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29891","description":"ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1034","description":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58321","description":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58321","description":"ARTIFICIAL INSEMINATION INTRA-CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-UTERINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58322","description":"ARTIFICIAL INSEMINATION INTRA-UTERINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL INSEMINATION INTRA-UTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58322","description":"ARTIFICIAL INSEMINATION INTRA-UTERINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[216572],"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":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0538","description":"ASCVD RISK MGMT SRV; CLIN STAFF TIME; PER CAL MO","negotiated_rates":[{"provider_references":[216572],"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":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20615","description":"ASPIRATION AND INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20615","description":"ASPIRATION AND INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8598","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4086F","description":"ASPIRIN OR CLOPIDOGREL PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4084F","description":"ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8599","description":"ASPIRIN/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0040","description":"ASSERTIVE COMMUNITY TREATMENT PROGRAM PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0039","description":"ASSERTIVE COMMUNITY TX FACE-TO-FACE PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HOME PHYSICAL AND FAMILY ENVIRONMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1028","description":"ASSESSMENT HOME PHYSICAL AND FAMILY ENVIRONMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HOME PHYSICAL AND FAMILY ENVIRONMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1028","description":"ASSESSMENT HOME PHYSICAL AND FAMILY ENVIRONMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0191","description":"ASSESSMENT OF A PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5289","description":"ASSIST LIST DEVC PERS FM/DM ADPTR/BOOT CPLG RECV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5285","description":"ASSIST LIST DEVC PERS FM/DM DIR AUDIO INPUT RECV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5283","description":"ASSIST LIST DEVC PERS FM/DM NCK LOOP INDUCT RECV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5282","description":"ASSIST LIST DEVC PERS FM/DM SYS BINAURL ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5281","description":"ASSIST LIST DEVC PERS FM/DM SYS MONAURL ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5284","description":"ASSIST LIST DEVICE PERS FM/DM EAR LEVEL RECEIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5286","description":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM/DM RECEIVR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5288","description":"ASSIST LISTEN DEVC PERS FM/DM TRANSMITTER ALD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5290","description":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2031","description":"ASSISTED LIVING WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2030","description":"ASSISTED LIVING WAIVER; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4022","description":"ASSISTED OOCYTE FERTILIZATION CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5274","description":"ASSISTIVE LEARNING DEVICE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5287","description":"ASSISTIVE LISTENING DEVC PERS FM/DM RECEIVER NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5269","description":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5272","description":"ASSISTIVE LISTENING DEVICE TDD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT and CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99483","description":"ASSMT and CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT and CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99483","description":"ASSMT and CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"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":null,"billing_code":"89253","description":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89281","description":"ASSTD FERTILIZATION MICROTQ GT 10 OOCYTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EQUAL 10 OOCYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89280","description":"ASSTD FERTILIZATION MICROTQ LT EQUAL 10 OOCYTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89280","description":"ASSTD FERTILIZATION MICROTQ LT or equal to 10 OOCYTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5271","description":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5268","description":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5270","description":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5273","description":"ASSTIVE LISTENING DEVICE USE W/COCHLEAR IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0764T","description":"ASSTV ALG ECG RSK-BASED ASSMT RELATED CNCRT ECG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0765T","description":"ASSTV ALG ECG RSK-BASED ASSMT RELATED PREV ECG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA DISCHARGE PLAN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5250F","description":"ASTHMA DISCHARGE PLAN PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA IMPAIRMENT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2015F","description":"ASTHMA IMPAIRMENT ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 KIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8097","description":"ASTHMA KIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9434","description":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2016F","description":"ASTHMA RISK ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA SYMPTOMS EVALUATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1005F","description":"ASTHMA SYMPTOMS EVALUATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9432","description":"ASTHMA WELL-CNTRL ACT C-ACT ACQ/ATAQ SC RSLT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2787","description":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9005F","description":"ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9771","description":"AT LEAST 1 BDY TEMPERATURE MSR GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BODY TEMPERATURE MSR GT or equal to 35.5 DEG C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9771","description":"AT LEAST 1 BODY TEMPERATURE MSR GT or equal to 35.5 DEG C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR GT or equal to 35.5 DC NOT ACHV ANES ET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR GT or equal to 35.5 DC NOT ACHV ANES ET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 1 BT MSR GT or equal to 35.5 DEGC NOT ACHV ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9773","description":"AT LEAST 1 BT MSR GT or equal to 35.5 DEGC NOT ACHV ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9367","description":"AT LEAST 2 ORD FOR SAME HIGH-RISK MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9368","description":"AT LEAST 2 ORDERS SAME HIGH-RISK MEDS NOT ORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"97171","description":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"97170","description":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"97172","description":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7636","description":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7635","description":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5125","description":"ATTENDANT CARE SERVICES; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5126","description":"ATTENDANT CARE SERVICES; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOMETRY FOR HEARING AID EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0618","description":"AUDIOMETRY FOR HEARING AID EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5914","description":"AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5927","description":"AURICULAR PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR/PERIAURICULAR PAIN ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1116F","description":"AURICULAR/PERIAURICULAR PAIN ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONNECTIVE TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4273","description":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONNECTIVE TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4273","description":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREDEPOSITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86890","description":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86891","description":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0465","description":"AUTOLOG PRP/OTH BLD-DERIV PROD DB CW FDA-CL DVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.0525,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLATELET-RICH PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0460","description":"AUTOLOGOUS PLATELET-RICH PLASMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0460","description":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0144","description":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0144","description":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 1st","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0249","description":"Adm Tocilizu COVID-19 1st","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 2nd","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0250","description":"Adm Tocilizu COVID-19 2nd","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5914","description":"Auricular prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0749T","description":"B1 STR and FX RISK ASSESSMENT USING DXR-BMD ALYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0750T","description":"B1 STR and FX RSK ASSMT DXR-BMD ALYS W/1VW XRAY HAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9117","description":"BACK SCHOOL PER VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3902","description":"BALLISTOCARDIOGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61630","description":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":857.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":857.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61630","description":"BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":857.9055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":857.9055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47542","description":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47542","description":"BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61640","description":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.0088,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.0088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50706","description":"BALLOON DILAT URETERAL STRICTURE W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3200F","description":"BARIUM SWALLOW TEST NOT ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARIUM SWALLOW TEST ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3142F","description":"BARIUM SWALLOW TEST ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":888.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":888.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3170F","description":"BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99450","description":"BASIC LIFE AND/OR DISABILITY EXAMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECAPLERMIN GEL 0.01 PCT 0.5 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0157","description":"BECAPLERMIN GEL 0.01 PCT 0.5 GM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECAPLERMIN GEL 0.01 PCT 0.5 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0157","description":"BECAPLERMIN GEL 0.01 PCT 0.5 GM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"96127","description":"BEHAV ASSMT W/SCORE and DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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 SUPPORT ASSMT EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0362T","description":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9920","description":"BEHAVIOR MANAGEMENT BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2012","description":"BEHAVIORAL HEALTH DAY TREATMENT PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0030","description":"BEHAVIORAL HEALTH HOTLINE SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0023","description":"BEHAVIORAL HEALTH OUTREACH SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0024","description":"BEHAVIORAL HEALTH PREV INFORM DISSEMIN SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREVENTION EDUCATION SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0025","description":"BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREVENTION EDUCATION SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0025","description":"BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0017","description":"BEHAVIORAL HEALTH; RES W/O ROOM and BOARD PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4008F","description":"BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9188","description":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8450","description":"BETA-BLOCKER THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9189","description":"BETA-BLOCKER THERAPY PRSC/CURRENTLY BEING TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER TX LVEF LT 40 PCT NOT PRSCR RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKER TX LVEF LT 40 PCT NOT PRSCR RSN DOC CLIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0002","description":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; LONG-TERM CARE RES W/ROOM and BD-DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2048","description":"BHVAL HEALTH; LONG-TERM CARE RES W/ROOM and BD-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; LONG-TERM RES W/O ROOM and BOARD-DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0019","description":"BHVAL HEALTH; LONG-TERM RES W/O ROOM and BOARD-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; LONG-TERM RES W/O ROOM and BOARD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0019","description":"BHVAL HEALTH; LONG-TERM RES W/O ROOM and BOARD-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0018","description":"BHVAL HEALTH; SHORT-TERM RES W/O ROOM and BOARD-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4707","description":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4706","description":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0506","description":"BIFOCAL VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":135.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":135.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOL MATL AID SOFT and OSSEOUS TISS REGEN PER SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4265","description":"BIOL MATL AID SOFT and OSSEOUS TISS REGEN PER SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOL MATL AID SOFT and OSSEOUS TISS REGEN PER SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4265","description":"BIOL MATL AID SOFT and OSSEOUS TISS REGEN PER SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3431","description":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3431","description":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MATERIALS AID SOFT AND OSSEOUS TISSUE REGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4265","description":"BIOLOGIC MATERIALS AID SOFT AND OSSEOUS TISSUE REGEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF ORAL TISSUE SOFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7286","description":"BIOPSY OF ORAL TISSUE SOFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL TISSUE HARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7285","description":"BIOPSY OF ORAL TISSUE HARD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL TISSUE SOFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7286","description":"BIOPSY OF ORAL TISSUE SOFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL TISSUE SOFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7286","description":"BIOPSY OF ORAL TISSUE SOFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4283","description":"BIOVANCE TRI-LAYER OR BIOVANCE 3L PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.38,"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":null,"billing_code":"S9442","description":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93702","description":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93702","description":"BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0270","description":"BITEWING - SINGLE RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0274","description":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0273","description":"BITEWINGS - THREE RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0272","description":"BITEWINGS - TWO RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7628","description":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1130F","description":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1130F","description":"BK PAIN AND FXN ASSESSED CERTAIN ASPECTS OF CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT S ER V UC V AND PT SR BP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT S ER V UC V AND PT SR BP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"A4770","description":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MEASURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2000F","description":"BLOOD PRESSURE MEASURED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8785","description":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TUBING ART AND VENOUS COMBINED HEMODIALYSIS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4755","description":"BLOOD TUBING ART AND VENOUS COMBINED HEMODIALYSIS EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4750","description":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86911","description":"BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86910","description":"BLOOD TYPING PATERNITY PR INDIV ABO RH AND MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MILEAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0380","description":"BLS MILEAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MILEAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0380","description":"BLS MILEAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A0384","description":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8417","description":"BMI DOC ABOVE NORMAL PARAM and F/U PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC BLW NML PARAM and A F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8418","description":"BMI DOC BLW NML PARAM and A F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8419","description":"BMI DOC OUT NML PARAM NO F/U PLN DOC NO RSN GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NL PARAM F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9716","description":"BMI DOC OUTSD NORM LMT F/U PLAN NOT CMPL DOC RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI DOC W/I NORMAL PARAM and NO F/U PLAN REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8420","description":"BMI DOC W/I NORMAL PARAM and NO F/U PLAN REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2181","description":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2181","description":"BMI NOT DOC D/T MED RSN/PT REFUS HGT/WGT MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8421","description":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/BLD DERIVD STEM CELLS HARV TPLNT and COMP;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2150","description":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT and COMP;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BODY MASS INDEX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3008F","description":"BODY MASS INDEX DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78351","description":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78351","description":"BONE DENSTY 1 OR GT SITES DUAL PHOTON ABSORPTIOMETR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6104","description":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT AT TIME OF IMPLANT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6104","description":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6103","description":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6103","description":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2188.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2216.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2216.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2298.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2298.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2327.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2327.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2188.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2216.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2216.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2298.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2298.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2327.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2327.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3429","description":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3429","description":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT W PERIRADICULAR SURG PER TOOTH 1 SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3428","description":"BONE GRAFT W PERIRADICULAR SURG PER TOOTH 1 SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT W/PERIRADICULAR SURG PER TOOTH 1 SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3428","description":"BONE GRAFT W/PERIRADICULAR SURG PER TOOTH 1 SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT W/PERIRADICULAR SURG PER TOOTH 1 SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3428","description":"BONE GRAFT W/PERIRADICULAR SURG PER TOOTH 1 SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2125.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2125.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2160.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2160.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2232.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2232.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2268.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2268.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2125.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2125.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2160.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2160.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2232.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2232.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2268.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2268.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4264","description":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPL GR - RET NAT TOOTH - EA ADD SITE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4264","description":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4263","description":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4263","description":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPLCMT GRAFT RIDGE PRESERVATION PER SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7953","description":"BONE REPLCMT GRAFT RIDGE PRESERVATION PER SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPLCMT GRAFT RIDGE PRESERVATION PER SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7953","description":"BONE REPLCMT GRAFT RIDGE PRESERVATION PER SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3269F","description":"BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RSK CNCRNT VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0743T","description":"BONE STRENGTH and FRACTURE RSK CNCRNT VRT FX ASSMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90287","description":"BOTULINUM ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.5,"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":null,"billing_code":"90288","description":"BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9273","description":"BP HAS SYSTOLIC VALUE LT 140 DIASTOLIC VALUE LT 90","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR BY VAS W/I 3 MOS PRE and AT 3 MOS P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9943","description":"BP NOT MSR BY VAS W/I 3 MOS PRE and AT 3 MOS P/O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR BY VAS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9946","description":"BP NOT MSR BY VAS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9943","description":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9274","description":"BP SYS Equal to 140 DIA Equal to 90/SYS LT 140 DIA Equal t","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9187","description":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9187","description":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PET PERFUSION EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78609","description":"BRAIN IMAGING PET PERFUSION EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET PERFUSION EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78609","description":"BRAIN IMAGING PET PERFUSION EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2066","description":"BREAST RECON W/GLUTEAL ART PERFORATOR FLAP UNI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COM TECH-B SRVC VR C/I PHYS/OTH QUAL HCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2252","description":"BRIEF COM TECH-B SRVC VR C/I PHYS/OTH QUAL HCP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF COM TECH-B SRVC VR C/I PHYS/OTH QUAL HCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2252","description":"BRIEF COM TECH-B SRVC VR C/I PHYS/OTH QUAL HCP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98016","description":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[216572],"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":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98016","description":"BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[216572],"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":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0443","description":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":859.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":859.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31652","description":"BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":859.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":859.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31654","description":"BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2067","description":"BRST RECON 1 BRST DIEP FLAP(S) and /GAP FLAP(S) UNI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7288","description":"BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7288","description":"BRUSH BIOPSY TRANSEPITHELIAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0571","description":"BUPRENORPHINE ORAL 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0571","description":"BUPRENORPHINE ORAL 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL GT 10 MG BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0575","description":"BUPRENORPHINE/NALOXONE ORAL GT 10 MG BUPRENORPHINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL LT or equal to TO 3 MG BPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0572","description":"BUPRENORPHINE/NALOXONE ORAL LT or equal to TO 3 MG BPN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NALOXONE ORAL LT or equal to TO 3 MG BPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0572","description":"BUPRENORPHINE/NALOXONE ORAL LT or equal to TO 3 MG BPN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NLX ORAL GT 6 MG BUT LT or equal to TO 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0574","description":"BUPRENORPHINE/NLX ORAL GT 6 MG BUT LT or equal to TO 10","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHINE/NLX ORAL GT 6 MG BUT LT or equal to TO 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0574","description":"BUPRENORPHINE/NLX ORAL GT 6 MG BUT LT or equal to TO 10","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL GT 3 MG BUT LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL GT 3 MG BUT LT or equal to 6","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPRENORPHNE/NALOXONE ORAL GT 3 MG BUT LT or equal to 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0573","description":"BUPRENORPHNE/NALOXONE ORAL GT 3 MG BUT LT or equal to 6","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0106","description":"BUPROPION HCI SUSTAINED RLSE TAB 150 MG 60 TABS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUSULFAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8510","description":"BUSULFAN ORAL 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0012","description":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89291","description":"BX OOCYTE MICROTQ GT 5 EMBRY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LT or equal to 5 EMBRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89290","description":"BX OOCYTE MICROTQ LT or equal to 5 EMBRY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89290","description":"BX OOCYTE POLR BDY/EMBRY BLST MICROTQ LT or equal to 5 E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0255","description":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 oral tissue hard","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7285","description":"Biopsy of oral tissue hard","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 oral tissue hard","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7285","description":"Biopsy of oral tissue hard","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0175T","description":"CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0169","description":"CALCITRIOL 0.25 MICROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0169","description":"CALCITROL 0.25 MICROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4651","description":"CALIBRATED MICROCAPILLARY TUBE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAMISOLE POST-MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8460","description":"CAMISOLE POST-MASTECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANAL PREPARATION AND FITTING PREFORMED DOWEL POST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3950","description":"CANAL PREPARATION AND FITTING PREFORMED DOWEL POST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANAL PREPARATION and FITTING PREFORMED DOWEL/POST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3950","description":"CANAL PREPARATION and FITTING PREFORMED DOWEL/POST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANAL PREPARATION and FITTING PREFORMED DOWEL/POST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3950","description":"CANAL PREPARATION and FITTING PREFORMED DOWEL/POST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9987","description":"CANCELLED APPOINTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCER STAGE DOCD METASTATIC AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3301F","description":"CANCER STAGE DOCD METASTATIC AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":900.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":950.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":900.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":900.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":950.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1011.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":693.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":917.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":963.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1011.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1011.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":693.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":693.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":917.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":963.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CAR FCL ABLTJ RADJ ARRHYT CONV LOCLZJ and MAPG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0746T","description":"CAR FCL ABLTJ RADJ ARRHYT CONV LOCLZJ and MAPG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0747T","description":"CAR FCL ABLTJ RADJ ARRHYT DLVR RADJ THER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0745T","description":"CAR FCL ABLTJ RADJ ARRHYT N-INVAS LOCLZJ and MAPG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SEAT/BED TEST INFT THRU 12 MO 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94780","description":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94780","description":"CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216572],"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":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94781","description":"CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216572],"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":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9472","description":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8962","description":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOKYMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0035","description":"CARDIOKYMOGRAPHY","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99484","description":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216572],"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":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216572],"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":"CARIES RISK ASSESSMENT AND DOC FINDING HIGH RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0603","description":"CARIES RISK ASSESSMENT AND DOC FINDING HIGH RISK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0601","description":"CARIES RISK ASSESSMENT AND DOC FINDING LOW RISK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0602","description":"CARIES RISK ASSESSMENT AND DOC FINDING MOD RISK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0425","description":"CARIES SUSCEPTIBILITY TESTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3100F","description":"CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTID INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93895","description":"CAROTID INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93895","description":"CAROTID INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EACH 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1016","description":"CASE MANAGEMENT EACH 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EACH 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1016","description":"CASE MANAGEMENT EACH 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2022","description":"CASE MANAGEMENT; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DETAILED AND EXTENSIVE TX PLANNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9450","description":"CASE PRESENTATION DETAILED AND EXTENSIVE TX PLANNING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9450","description":"CASE PRESENTATION SUBS DTL and EXTENSIVE TX PLN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4050","description":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3496F","description":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3496F","description":"CD4 Plus CELL COUNT Equal to GT 500 CELLS/MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3494F","description":"CD4 Plus CELL COUNT LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT LT 200 CELLS/MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3494F","description":"CD4 Plus CELL COUNT LT 200 CELLS/MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3495F","description":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3495F","description":"CD4 Plus CELL COUNT 200-499 CELLS/MM (HIV)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3498F","description":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3498F","description":"CD4 Plus CELL PERCENTAGE GT or equal to 15 PCT HIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3497F","description":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3497F","description":"CD4 Plus CELL PERCENTAGE LT 15 PCT HIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3500F","description":"CD4 Plus CELL CNT/CD4 Plus CELL PCT DOCD AS DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/I and R W/MCT and ADT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92549","description":"CDP-SOT 6 CONDITIONS W/I and R W/MCT and ADT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/I and R W/MCT and ADT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92549","description":"CDP-SOT 6 CONDITIONS W/I and R W/MCT and ADT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.63,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMERATION IMMUNE SELECTJ AND ID PHYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86153","description":"CELL ENUMERATION IMMUNE SELECTJ AND ID PHYS INTERP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.34,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0075","description":"CELLULAR THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3095F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3096F","description":"CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0101","description":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0101","description":"CERV/VAGINAL CANCER SCR; PELV and CLIN BREAST EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3015F","description":"CERVICAL CANCER SCREENING RESULTS DOCD AND RVWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CES SYSTEM SUPPLIES and ACCESSORIES PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4596","description":"CES SYSTEM SUPPLIES and ACCESSORIES PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CES SYSTEM SUPPLIES and ACCESSORIES PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4596","description":"CES SYSTEM SUPPLIES and ACCESSORIES PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9438","description":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3870","description":"CGH MICROARRAY TEST DD ASD and /OR INTELL DISABILTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL EXFOLIATION ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17360","description":"CHEMICAL EXFOLIATION ACNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"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":null,"billing_code":"Q0083","description":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2340","description":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2341","description":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0085","description":"CHEMOTHAPY ADMN BOTH INFUS TECH AND OTH TECHIQUE-VST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0084","description":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4674","description":"CHEMS/ANTISEPTICS SOL CLEAN/STERILIZE DIALY 8OZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 X-RAY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3006F","description":"CHEST X-RAY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"T1009","description":"CHILD SIT-CHILD IND REC ALCOHL and /SUBSTNC ABS SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9436","description":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9437","description":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TAKING ABX 30 DA PRI TO DX PHARYNGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9703","description":"CHILDREN TAKING ABX 30 DA PRI TO DX PHARYNGITIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT REGION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98943","description":"CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1 OR GT REGION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9230","description":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9228","description":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3511F","description":"CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMBUCIL ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0172","description":"CHLORAMBUCIL ORAL 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMBUCIL ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0172","description":"CHLORAMBUCIL ORAL 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDROCHLORIDE 5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0161","description":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDROCHLORIDE 5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0161","description":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADULT 1 DOSE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90625","description":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADULT 1 DOSE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90625","description":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9515","description":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5120","description":"CHORE SERVICES; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5121","description":"CHORE SERVICES; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9553","description":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTUBATION OVIDUCT W/MATERIALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58350","description":"CHROMOTUBATION OVIDUCT W/MATERIALS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTUBATION OVIDUCT W/MATERIALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58350","description":"CHROMOTUBATION OVIDUCT W/MATERIALS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99490","description":"CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99439","description":"CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99439","description":"CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99490","description":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99490","description":"CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION NEONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54160","description":"CIRCUMCISION NEONATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION NEONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54160","description":"CIRCUMCISION NEONATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54150","description":"CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLCT AND PREP SALIVA SAMPLE FOR LAB DX TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0417","description":"CLCT AND PREP SALIVA SAMPLE FOR LAB DX TESTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB/ARB TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8877","description":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8935","description":"CLIN PRSC ACE INHIB/ANGIOTENSIN REC BLOCK ARB TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9970","description":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3354F","description":"CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3323F","description":"CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1015","description":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CROWN LENGTHENING - HARD TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4249","description":"CLINICAL CROWN LENGTHENING - HARD TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CROWN LENGTHENING - HARD TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4249","description":"CLINICAL CROWN LENGTHENING - HARD TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2002F","description":"CLINICAL SIGNS VOLUME OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1004F","description":"CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8936","description":"CLINICIAN DOC PT NOT ELIG CANDIDATE ACE/ARB TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8875","description":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED REDUCTION OF DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7820","description":"CLOSED REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3520F","description":"CLOSTRIDIUM DIFFICILE TESTING PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE DEVICE VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1760","description":"CLOSURE DEVICE VASCULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7983","description":"CLOSURE OF SALIVARY FISTULA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0136","description":"CLOZAPINE 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLTX METAR FX W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.86,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4013","description":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4014","description":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0302","description":"CMPL EARLY PERIODIC SCREENING DX AND TX SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4015","description":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9490","description":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9490","description":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"H0036","description":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0296","description":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"S0257","description":"CNSL and DISCUSS ADV DIRCTV/EOL CARE PT and /SURROGATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO-MORBID CONDITIONS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1026F","description":"CO-MORBID CONDITIONS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"A9559","description":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9546","description":"COBALT CO-57/58 CYANOCOBALAMN DX TO 1 MICROCURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITION ASSESSED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1494F","description":"COGNITION ASSESSED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3755F","description":"COGNITIVE AND BEHAVIORAL IMPAIRMENT SCRNG PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3720F","description":"COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0142","description":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0417","description":"COLL and PREP OF SALIVA SAMPLE LABORATORY ANALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0428","description":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1713.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1713.18,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1713.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1713.18,"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":null,"billing_code":"0402T","description":"COLLAGEN CROSS-LINKING CORNEA and PACHYMETRY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF CORNEA MED SEPARATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0402T","description":"COLLAGEN CROSS-LINKING OF CORNEA MED SEPARATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"D7921","description":"COLLECTION AND APPLIC AUTO BLOOD CONCENTRATE PROD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MICROORGANISMS CULTURE AND SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0415","description":"COLLECTION MICROORGANISMS CULTURE AND SENSITIVITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"S0285","description":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STOMA ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44401","description":"COLONOSCOPY STOMA ABLATION LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1646.6978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1646.6978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44401","description":"COLONOSCOPY STOMA ABLATION LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1646.6978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1646.6978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44402","description":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44402","description":"COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"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":null,"billing_code":"S0514","description":"COLOR CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92283","description":"COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3017F","description":"COLORECTAL CANCER SCREENING RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMA STIMULATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9056","description":"COMA STIMULATION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CNCTIVE TISSUE and PEDICLE GRAFT PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4276","description":"COMB CNCTIVE TISSUE and PEDICLE GRAFT PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CNCTIVE TISSUE and PEDICLE GRAFT PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4276","description":"COMB CNCTIVE TISSUE and PEDICLE GRAFT PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CNCTIVE TISSUE AND DBL PEDICLE GRAFT PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4276","description":"COMB CNCTIVE TISSUE AND DBL PEDICLE GRAFT PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4153F","description":"COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMISSURE SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5987","description":"COMMISSURE SPLINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0037","description":"COMMUNITY PSYC SUPPORTIVE TX PROGM PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2038","description":"COMMUNITY TRANSITION WAIVER; PER SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012F","description":"COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2021","description":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-BASED WRAP-AROUND SERVICES PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2021","description":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-BASED WRAP-AROUND SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2022","description":"COMMUNITY-BASED WRAP-AROUND SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-BASED WRAP-AROUND SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2022","description":"COMMUNITY-BASED WRAP-AROUND SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ASMT OF AND CARE PLNG PT RQR CC MGMT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0506","description":"COMP ASMT OF AND CARE PLNG PT RQR CC MGMT SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ASMT OF AND CARE PLNG PT RQR CC MGMT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0506","description":"COMP ASMT OF AND CARE PLNG PT RQR CC MGMT SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"H2015","description":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2016","description":"COMP COMMUNITY SUPPORT SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3865","description":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0250","description":"COMP GERIATRIC ASSESS AND TX PLAN PRFRM ASSESS TEAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0311","description":"COMP MGMT AND CARE COORD ADVANCED ILL PER CAL MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL EVALUATION - NEW ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0150","description":"COMP ORAL EVALUATION - NEW ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL EVALUATION - NEW/ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0150","description":"COMP ORAL EVALUATION - NEW/ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL EVALUATION - NEW/ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0150","description":"COMP ORAL EVALUATION - NEW/ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8070","description":"COMP ORTHODONTIC TX TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERIODONTAL EVALUATION - NEW EST PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0180","description":"COMP PERIODONTAL EVALUATION - NEW EST PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERIODONTAL EVALUATION - NEW/EST PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0180","description":"COMP PERIODONTAL EVALUATION - NEW/EST PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERIODONTAL EVALUATION - NEW/EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0180","description":"COMP PERIODONTAL EVALUATION - NEW/EST PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0014F","description":"COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S5136","description":"COMPANION CARE ADULT ; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5120","description":"COMPLETE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5110","description":"COMPLETE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1210.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1541.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1541.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1210.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1541.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1541.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2029F","description":"COMPLETE PHYSICAL SKIN EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S8950","description":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLICATED SUTURE-GREATER THAN 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7912","description":"COMPLICATED SUTURE-GREATER THAN 5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLICATED SUTURE-GREATER THAN 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7912","description":"COMPLICATED SUTURE-GREATER THAN 5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLICATED SUTURE-UP TO 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7911","description":"COMPLICATED SUTURE-UP TO 5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLICATED SUTURE-UP TO 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7911","description":"COMPLICATED SUTURE-UP TO 5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7999","description":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96000","description":"COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE CONTACT LENS EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0592","description":"COMPREHENSIVE CONTACT LENS EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2010","description":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADOLES DENTITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8080","description":"COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADOLES DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8080","description":"COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8090","description":"COMPREHENSIVE ORTHODONTIC TX ADULT DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8431","description":"COMPRESSION BANDAGE ROLL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6512","description":"COMPRESSION BURN GARMENT NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4267F","description":"COMPRESSION THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6511","description":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6510","description":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6509","description":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6513","description":"COMPRS BRN MASK FCE and OR NCK PLSTC/EQUL CSTM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6501","description":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6502","description":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6503","description":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6507","description":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6508","description":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6506","description":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6505","description":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6504","description":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57465","description":"COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7840","description":"CONDYLECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7840","description":"CONDYLECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0365","description":"CONE BEAM CT CAP AND INT FD VW 1 FULL DENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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- UNDER 1 WHOLE JAW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0364","description":"CONE BEAM CT CAP AND INTEPR LTD FD VIEW- UNDER 1 WHOLE JAW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRT EXPOSURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0368","description":"CONE BEAM CT CAP AND INTEPR TMJ SERIES 2 OR GRT EXPOSURES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0364","description":"CONE BEAM CT CAP and INTEPR LTD FD VIEW- LT 1 WHOLE JAW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0368","description":"CONE BEAM CT CAP and INTEPR TMJ SERIES 2 OR GT EXPOSURES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0367","description":"CONE BEAM CT CAPTURE AND INTERP FD VIEW BOTH JAWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0382","description":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRT EXPOSURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0384","description":"CONE BEAM CT IMAG CAP TMJ SERIES 2 OR GRT EXPOSURES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0384","description":"CONE BEAM CT IMAG CAP TMJ SERIES 2 OR GT EXPOSURES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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- UNDER 1 WHOLE JAW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0380","description":"CONE BEAM CT IMAG CAP W LTD FD VIEW- UNDER 1 WHOLE JAW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0380","description":"CONE BEAM CT IMAG CAP W/LTD FD VIEW- LT 1 WHOLE JAW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0383","description":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0366","description":"CONE BM CT CAP AND INT FD VIEW 1 FULL DENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0381","description":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY NOT RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4182F","description":"CONFORMAL RADIATION THERAPY NOT RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMAL RADIATION THERAPY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4181F","description":"CONFORMAL RADIATION THERAPY RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMITY EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5020","description":"CONFORMITY EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6055","description":"CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6055","description":"CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTOR BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6920","description":"CONNECTOR BAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTOR BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6920","description":"CONNECTOR BAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5200F","description":"CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"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":null,"billing_code":"76140","description":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 and REPRT REFERRED MATRL REQUIRING PREPJ SLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"D9310","description":"CONSULT DX SERV DENT PHY NOT REQUESTING DENT PHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9310","description":"CONSULT DX SERV DENT/PHY NOT REQUESTING DENT/PHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0485","description":"CONSULT INCL PREP SLIDES BX MATL SPL REF SRC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0484","description":"CONSULTATION ON SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GLUC MONITORING PATIENT PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95249","description":"CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0453","description":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0453","description":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"S1031","description":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S1030","description":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2599","description":"CONTACT LENS OTHER TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4159F","description":"CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE IUD INCLUDING IMPLANTS AND SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S4989","description":"CONTRACEPTIVE IUD INCLUDING IMPLANTS AND SUPPLIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE IUD INCLUDING IMPLANTS AND SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4989","description":"CONTRACEPTIVE IUD INCLUDING IMPLANTS AND SUPPLIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1022","description":"CONTRACT HOME HEALTH SRVC UNDER CONTRACT DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4890","description":"CONTRACTS REPAIR AND MAINTENANCE HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47535","description":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.3264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47535","description":"CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.3264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.3264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50434","description":"CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":561.6027,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9008","description":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9011","description":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9009","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9010","description":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9007","description":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1015F","description":"COPD SYMPTOMS ASSESSED/TOOL COMPLETED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2975","description":"COPING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D2975","description":"COPING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2140","description":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D2950","description":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":2908.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2908.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORETEXT OR PROTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4246","description":"CORETEXT OR PROTEXT PER CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":2908.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2908.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[216572],"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":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92145","description":"CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI","negotiated_rates":[{"provider_references":[216572],"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":"CORONECTOMY - INTENTIONAL PARTIAL TOOTH REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7251","description":"CORONECTOMY - INTENTIONAL PARTIAL TOOTH REMOVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONECTOMY-INTEN PRTL TOOTH RMVL IMP TEETH ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7251","description":"CORONECTOMY-INTEN PRTL TOOTH RMVL IMP TEETH ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONECTOMY-INTEN PRTL TOOTH RMVL IMP TEETH ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7251","description":"CORONECTOMY-INTEN PRTL TOOTH RMVL IMP TEETH ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7991","description":"CORONOIDECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7991","description":"CORONOIDECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28296","description":"CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28297","description":"CORRJ HLX VLGS BNCTY SESMDC JOINT ARTHRODESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28298","description":"CORRJ HLX VLGS BNCTY SESMDC PROX PHLX OSTEOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4142F","description":"CORTICOSTEROID SPARING THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4177F","description":"COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4248F","description":"COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5005F","description":"COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4176F","description":"COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4340F","description":"COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6110F","description":"COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4350F","description":"COUNSELING PROVIDED SYMP MNGMNT PALLIATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9322","description":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9321","description":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20985","description":"CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5924","description":"CRANIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4322F","description":"CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9484","description":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9485","description":"CRISIS INTERVENT MENTAL HEALTH SERV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.1795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.1795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.1795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3 4 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2780","description":"CROWN - 3 4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3 4 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2782","description":"CROWN - 3 4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3 4 CAST PREDOMINATELY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2781","description":"CROWN - 3 4 CAST PREDOMINATELY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3 4 PORCELAIN CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2783","description":"CROWN - 3 4 PORCELAIN CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3 4 RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2712","description":"CROWN - 3 4 RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2780","description":"CROWN - 3/4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2780","description":"CROWN - 3/4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2782","description":"CROWN - 3/4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2782","description":"CROWN - 3/4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 CAST PREDOMINATELY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2781","description":"CROWN - 3/4 CAST PREDOMINATELY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 CAST PREDOMINATELY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2781","description":"CROWN - 3/4 CAST PREDOMINATELY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2783","description":"CROWN - 3/4 PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2783","description":"CROWN - 3/4 PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2712","description":"CROWN - 3/4 RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - 3/4 RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2712","description":"CROWN - 3/4 RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2790","description":"CROWN - FULL CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2790","description":"CROWN - FULL CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2792","description":"CROWN - FULL CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2792","description":"CROWN - FULL CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2791","description":"CROWN - FULL CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2791","description":"CROWN - FULL CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2740","description":"CROWN - PORCELAIN CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2751","description":"CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2751","description":"CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2750","description":"CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2750","description":"CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2752","description":"CROWN - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2752","description":"CROWN - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2740","description":"CROWN - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2740","description":"CROWN - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2720","description":"CROWN - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2720","description":"CROWN - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2722","description":"CROWN - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2722","description":"CROWN - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2721","description":"CROWN - RESIN WITH PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2721","description":"CROWN - RESIN WITH PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2710","description":"CROWN - RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN-BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2710","description":"CROWN - RESIN-BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2794","description":"CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2794","description":"CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D2980","description":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0446T","description":"CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":4023.3388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4023.3388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0446T","description":"CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":4023.3388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4023.3388,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89337","description":"CRYOPRESERVATION MATURE OOCYTE(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4037","description":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89258","description":"CRYOPRSRV EMBRYO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89335","description":"CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89259","description":"CRYOPRSRV SPRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOSURGICAL ABLATION PROSTATE W/US and MONITORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55873","description":"CRYOSURGICAL ABLATION PROSTATE W/US and MONITORI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3023.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3023.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3323.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3323.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3645.2273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3645.2273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOSURGICAL ABLATION PROSTATE W/US and MONITORI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55873","description":"CRYOSURGICAL ABLATION PROSTATE W/US and MONITORI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3023.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3023.5597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3323.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3323.9774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3645.2273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3645.2273,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3111F","description":"CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3112F","description":"CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3110F","description":"CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"89251","description":"CUL OOCYTE/EMBRYO LT 4 D CO-CULT OCYTE/EMBRY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89250","description":"CUL OOCYTE/EMBRYO LT 4 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P7001","description":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P7001","description":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8428","description":"CUR MEDS NO DOC OBDT UPD/REV ELIG CLIN RSN N GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"CURR/PRI LVEF LT or equal to 40 PCT /DOC MOD/SEV DEPR LV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT CIGARETTE SMOKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT CIGARETTE SMOKERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4150F","description":"CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1035F","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9642","description":"CURRENT SMOKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1032F","description":"CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1036F","description":"CURRENT TOBACCO NON-USER CAD CAP COPD PV DM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1034F","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"G0255","description":"CURRNT PERCEPT THRESHOLD/SNCT PER LIMB ANY NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABUTMENT - INCLUDES PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6057","description":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABUTMENT - INCLUDES PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6057","description":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S1002","description":"CUSTOMIZED ITEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.24,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INSERTION TRANSPROSTATIC IMPLANT EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":555.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":555.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52441","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC 1 IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.6428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":555.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":555.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52442","description":"CYSTO INSJ PERM ADJTBL TRANSPROSTATIC IMPLANT EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":555.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":555.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"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":null,"billing_code":"S2070","description":"CYSTO W/URETERSCPY and /PYELSCPY;LASR TX URETRL CALC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3155F","description":"CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0551F","description":"CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0550F","description":"CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATHOLOGY FORENSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88125","description":"CYTOPATHOLOGY FORENSIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"provider_references":[216572],"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":"Cellular therapy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0075","description":"Cellular therapy","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 of salivary fistula","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7983","description":"Closure of salivary fistula","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 of salivary fistula","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7983","description":"Closure of salivary fistula","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5987","description":"Commissure splint","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conformity evaluation","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5020","description":"Conformity evaluation","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conformity evaluation","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5020","description":"Conformity evaluation","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5924","description":"Cranial prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0512","description":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK ADAPTATION XM W/INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DARK ADAPTATION XM W/INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"S5100","description":"DAY CARE SERVICES ADULT; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5102","description":"DAY CARE SERVICES ADULT; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5101","description":"DAY CARE SERVICES ADULT; PER HALF DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SRVC CENTER-BASED; SRVC NOT W/PROGM FEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5105","description":"DAY CARE SRVC CENTER-BASED; SRVC NOT W/PROGM FEE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SRVC CENTER-BASED; SRVC NOT W/PROGM FEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5105","description":"DAY CARE SRVC CENTER-BASED; SRVC NOT W/PROGM FEE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2021","description":"DAY HABILITATION WAIVER; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2020","description":"DAY HABILITATION WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT BDY SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBR AND OSS CNTR PERIIMPL DFCT;SURF AND FLAP ENTRY AND CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6102","description":"DEBR AND OSS CNTR PERIIMPL DFCT;SURF AND FLAP ENTRY AND CL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND OSS CNTR PERIIMPL DFCT;SURF AND FLAP ENTRY AND CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6102","description":"DEBR AND OSS CNTR PERIIMPL DFCT;SURF AND FLAP ENTRY AND CL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6101","description":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6101","description":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE MUSCLE and /FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE MUSCLE and /FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE and FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11043","description":"DEBRIDEMENT MUSCLE and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":172.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":172.3152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":172.3152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":172.3152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0475","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2348","description":"DECOMP PERQ INTERVERT DISC RF ENERGY 1/MX LUMB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4070F","description":"DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9381","description":"DEL/SRVC HI RISK REQ ESCORT/EXTRA PROTECT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15630","description":"DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE ITEM PATIENT AWARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S1001","description":"DELUXE ITEM PATIENT AWARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2702","description":"DELUXE LENS FEATURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1490F","description":"DEMENTIA SEVERITY CLASSIFIED MILD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1491F","description":"DEMENTIA SEVERITY CLASSIFIED MODERATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMENTIA SEVERITY CLASSIFIED SEVERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1493F","description":"DEMENTIA SEVERITY CLASSIFIED SEVERE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0248","description":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0248","description":"DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8432","description":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0429","description":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0429","description":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1557.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1557.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1725.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1725.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1557.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1557.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1725.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1725.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":294.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.18,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":294.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1057.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4248","description":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1057.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":106.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.93,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":106.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE LT 10CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE LT 10CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION PHYSICAL CHEM METHOD BY REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7465","description":"DESTRUCTION LESION PHYSICAL CHEM METHOD BY REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LESION PHYSICAL/CHEM METHOD BY REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7465","description":"DESTRUCTION LESION PHYSICAL/CHEM METHOD BY REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LESION PHYSICAL/CHEM METHOD BY REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7465","description":"DESTRUCTION LESION PHYSICAL/CHEM METHOD BY REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17000","description":"DESTRUCTION PREMALIGNANT LESION 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17003","description":"DESTRUCTION PREMALIGNANT LESION 2-14 EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETAILED AND EXT ORAL EVAL PROB FOCUS BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0160","description":"DETAILED AND EXT ORAL EVAL PROB FOCUS BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETAILED AND EXT ORAL EVAL PROB FOCUS BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0160","description":"DETAILED AND EXT ORAL EVAL PROB FOCUS BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","negotiated_rates":[{"provider_references":[216572],"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":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0451","description":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0451","description":"DEVELPMNT TESTING I AND R STANDARDIZD INSTRUMNT FORM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7638","description":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0160","description":"DEXTROAMPHETAMINE SULFATE 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0759T","description":"DGTZ GLAS MCRSCP SLD SPEC STN GRP III NZM CONST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0760T","description":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0761T","description":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0751T","description":"DGTZ GLASS MCRSCP SLD LEVEL II SURG PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0752T","description":"DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0753T","description":"DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0754T","description":"DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0755T","description":"DGTZ GLASS MCRSCP SLD LEVEL VI SURG PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0763T","description":"DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0756T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0757T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP II ALL OTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0758T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN HCHEM STAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0762T","description":"DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0108","description":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0109","description":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3000","description":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9141","description":"DIABETIC MANAGEMENT PROGM F/U VISIT MD PROVIDER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9465","description":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9455","description":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9460","description":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9140","description":"DIABETIC MGMT PROGM F/U VISIT NON-MD PROVIDER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BONE MARROW BIOPSIES AND ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES AND ASPIRATIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES AND ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38222","description":"DIAGNOSTIC BONE MARROW BIOPSIES AND ASPIRATIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC CASTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0470","description":"DIAGNOSTIC CASTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4765","description":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4766","description":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4726","description":"DIALYSATE DEXTROSE FLUID GT 5999 CC PD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4720","description":"DIALYSATE DXTROS FL GT 249 LT or equal to 999 CC PERITON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4721","description":"DIALYSATE DXTROS FL GT 999 LT or equal to 1999CC PERITON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4722","description":"DIALYSATE DXTROS FL GT 1999 LT or equal to 2999CC PERITON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4723","description":"DIALYSATE DXTROS FL GT 2999 LT or equal to 3999CC PERITON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4724","description":"DIALYSATE DXTROS FL GT 3999 LT or equal to 4999CC PERITON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4725","description":"DIALYSATE DXTROS FL GT 4999 LT or equal to 5999CC PERITON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4760","description":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4728","description":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0492","description":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W/O ESRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0491","description":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W/O ESRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0194","description":"DIALYSIS/STRESS VITAMIN SUPL ORAL 100 CAPSULES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4690","description":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4538","description":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0137","description":"DIDANOSINE 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BREAST TOMOSYNTHESIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BREAST TOMOSYNTHESIS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BREAST TOMOSYNTHESIS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4220F","description":"DIGOXIN MEDICATION THERAPY 6 MONTHS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGTL SUBTRACTION 2 OR GRT IMAGES IMAG VOL SAME MODAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0394","description":"DIGTL SUBTRACTION 2 OR GRT IMAGES IMAG VOL SAME MODAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0394","description":"DIGTL SUBTRACTION 2 OR GT IMAGES/IMAG VOL SAME MODAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED FUNDUS EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2020F","description":"DILATED FUNDUS EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2019F","description":"DILATED MACULAR EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2021F","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8397","description":"DILATED MACULAR OR FUNDUS EXAM PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5010F","description":"DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2022F","description":"DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2023F","description":"DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90700","description":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90296","description":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0128","description":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0128","description":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5","negotiated_rates":[{"provider_references":[216572],"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":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0379","description":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0482","description":"DIRECT IMMUNOFLUORESCENCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0300","description":"DIRECT SNS LPN HOME HLTH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0299","description":"DIRECT SNS RN HOME HEALTH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4187F","description":"DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISC REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7852","description":"DISC REPAIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISC REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7852","description":"DISC REPAIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1111F","description":"DISCHRG MEDS RECONCILED W/CURRENT MED LIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROGRAM; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0317","description":"DISEASE MANAGEMENT PROGRAM; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MODIFYING PHARMACOTHERAPY DISCUSSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4540F","description":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MODIFYING PHARMACOTHERAPY DISCUSSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4540F","description":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3476F","description":"DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3475F","description":"DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2351","description":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2350","description":"DISKECT ANT W/OSTEOPHYTECT; LUMBAR 1 INTERSPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4671","description":"DISPBL CYCLER SET USED W/CYCLER DIALYSIS MACH EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0595","description":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0500","description":"DISPOSABLE CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4221F","description":"DIURETIC MEDICATION THERAPY 6 MOS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28250","description":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28250","description":"DIVISION PLANTAR FASCIA AND MUSCLE SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34710","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.3198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":501.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":501.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34711","description":"DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":183.2808,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9901","description":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3852","description":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1061F","description":"DOC ABSENCE PERM AND PERSISTENT AND PAROXYSM ATRIAL FIB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1152F","description":"DOC ADVANCED DISEASE DX CARE GOALS COMFORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1153F","description":"DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9315","description":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4048F","description":"DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5062F","description":"DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9231","description":"DOC ESRD DIAL RNA TX BF/DUR MSR PR/PG DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR GT or equal to 4.0 MG/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR GT or equal to 4.0 MG/","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9722","description":"DOC HX RENAL FAILURE/BASELINE S-CR Equal to 4.0 MG/DL;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IRON STORES PRIOR START EPO THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3160F","description":"DOC IRON STORES PRIOR START EPO THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9776","description":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9895","description":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASN NO PRSC ACE INHIB/ARB/ARNI TH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2093","description":"DOC MED REASN NO PRSC ACE INHIB/ARB/ARNI TH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9288","description":"DOC MED REASON NOT REPORT H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9755","description":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RS NOT RECV HCV AB D/T LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN COLONOSCOPY PERF PT GT or equal to TO 86 YOA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOC MED RSN COLONOSCOPY PERF PT GT or equal to TO 86 YOA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9794","description":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9862","description":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F/U INTVL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NO CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR Equal to TO OR GT 35.5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR Equal to TO OR GT 35.5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9772","description":"DOC MED RSN NOT ACHV AL 1 BT MSR GT or equal to 35.5 DC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8865","description":"DOC MED RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9753","description":"DOC MED RSN NOT C SRCH DICOM F IMAG W/I P 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9781","description":"DOC MED RSN NOT CUR USER/RCV AN ORDER STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"DOC MED RSN NOT DOC UPDAT/REV PT CUR MED LIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9419","description":"DOC MED RSN NOT INCL HIS T/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT AND STM THK ULCER AND MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9429","description":"DOC MED RSN NOT INCL PT CAT AND STM THK ULCER AND MR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8722","description":"DOC MED RSN NOT INCL PT CAT PN CAT/HG PATH REPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9607","description":"DOC MED RSN NOT PERF IO CYSTO/IN CASE PT DEATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESC WARFARIN/ANR FDA-APPRV AC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8968","description":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAGULANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9696","description":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9452","description":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9384","description":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9423","description":"DOC MED RSN NOT RPRT H TYP/NSCLC-NOS CLASS EXPLN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9282","description":"DOC MED RSN NOT RPT HIST TYP/NSCLC-NOS CLASS W/E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9292","description":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9960","description":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9456","description":"DOC MED/PT RSN FOR NOT ORDERING/PRFRM SCR HCC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9549","description":"DOC MEDICAL REASON THAT F/U IMAGING IS INDICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9610","description":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2044F","description":"DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3093F","description":"DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4047F","description":"DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4041F","description":"DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4043F","description":"DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4049F","description":"DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4044F","description":"DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1060F","description":"DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8543","description":"DOC POS FO ASMT; CP NO DOC W/N 2D ASMT NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4042F","description":"DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9277","description":"DOC PT D ASP/ANTI-PLT/DOC CONTRAIND ASP/ANTI-PLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN PO DA 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9254","description":"DOC PT D/C HOME LATER THAN POST-OP DA 2 FLW CAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PO DAY 2 FLW CEA/CAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9255","description":"DOC PT D/C HOME NO LTR THAN PST OP DAY 2 FLW CAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9765","description":"DOC PT DECLINED CHG MED/ALT THERAPIES UNAVBL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9278","description":"DOC PT NOT ON DAILY ASPIRIN/ANTI-PLATELET REGIMN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9507","description":"DOC PT ON STATIN MED/DOC VALID CONTRAINDICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1028","description":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1028","description":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9385","description":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9317","description":"DOC PT RISK ASSESS RISK CALC W/PT/FAM NOT COMPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9316","description":"DOC PT RISK ASSESSMENT RISK CALCULATOR W/PT/FAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8866","description":"DOC PT RSN NOT ADM/PREV RECV PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8969","description":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8969","description":"DOC PT RSN NOT PRSCR WAR/ANOTHER ORAL AC PREV TE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1151F","description":"DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1150F","description":"DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9542","description":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W/I 3 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8840","description":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC REASON NOT MEASURING AHI/RDI TIME INIT DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REFERAL FOR UPPER GI ENDOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3132F","description":"DOC REFERAL FOR UPPER GI ENDOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REHAB SERVICES WERE CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4079F","description":"DOC REHAB SERVICES WERE CONSIDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8843","description":"DOC RSN NO M AHI/RDI/REI WI 2MO AFTER SUS OSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8876","description":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOC RSN NO OBJ REPORTING ADH TO EVIDNCE-BASED TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9504","description":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9698","description":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9537","description":"DOC SYS RSN ORD ADVANCE HEAD CT MRI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC T-PA ADMINISTRATION WAS CONSIDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4077F","description":"DOC T-PA ADMINISTRATION WAS CONSIDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9242","description":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9242","description":"DOC VIRAL LOAD GT or equal to 200 COPIES/ML/VL NOT PRFRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4046F","description":"DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCD CONTACT THAT FX EXISTED and PT TSTED/TXD OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5015F","description":"DOCD CONTACT THAT FX EXISTED and PT TSTED/TXD OP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3510F","description":"DOCJ TB SCREEN PERFORMED AND RESULTS INTERPRET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9997","description":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9997","description":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4019F","description":"DOCUMENT COUNSELING EXERCISE CALCIUM AND VITAMIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9896","description":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8880","description":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9543","description":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9820","description":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F/U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9660","description":"DOCUMENTATION MED RSN COLONOSCOPY PERF PT GT 85 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9712","description":"DOCUMENTATION MED RSN FOR PRESCRIB/DISPENS ABX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9190","description":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9555","description":"DOCUMENTATION MED RSN RECOMMENDING F/U IMAGING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9940","description":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9957","description":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9502","description":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9518","description":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF CHA2DS2-VASC RISK SCORE OF 0/1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9931","description":"DOCUMENTATION OF CHA2DS2-VASC RISK SCORE OF 0/1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9609","description":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SEXUAL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9818","description":"DOCUMENTATION OF SEXUAL ACTIVITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3066F","description":"DOCUMENTATION OF TREATMENT FOR NEPHROPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9275","description":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9276","description":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION PT HAS ACTIVE DX DEPRESSION/BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9508","description":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9191","description":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8854","description":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8849","description":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9717","description":"DOCUMENTATION STATING PT HAD DX OF BIPOLAR D/O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9243","description":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES/ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3215F","description":"DOCUMENTED IMMUNITY HEPATITIS A","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED IMMUNITY HEPATITIS B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3216F","description":"DOCUMENTED IMMUNITY HEPATITIS B","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3073F","description":"DOCUMENTED LENGTH CORNEAL POWER AND LENS POWER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9626","description":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9629","description":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9745","description":"DOCUMENTED REASON FOR NOT SCREENING/REC F/U HBP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8815","description":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 100 MG ORL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0174","description":"DOLASETRON MESYLATE ORAL 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"33940","description":"DONOR CARDIECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"33930","description":"DONOR CARDIECTOMY-PNEUMONECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4023","description":"DONOR EGG CYCLE INCOMPLETE CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44132","description":"DONOR ENTERECTOMY OPEN CADAVER DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44133","description":"DONOR ENTERECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LIVING DONOR SEG II AND III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1849.3377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1849.3377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2030.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2030.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2278.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2278.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II AND III","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1849.3377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1849.3377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2030.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2030.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2278.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2278.0683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2167.0337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2167.0337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2437.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2437.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2708.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2708.9032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III AND IV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2167.0337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2167.0337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2437.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2437.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2708.9032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2708.9032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2416.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2416.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2687.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2687.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2958.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2958.5615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII AND VI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2416.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2416.6921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2687.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2687.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2958.5615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2958.5615,"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":null,"billing_code":"S2061","description":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"50300","description":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1006.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1006.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":827.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":827.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":895.3612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":895.3612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1006.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1006.3958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.0346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":827.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":827.3236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":895.3612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":895.3612,"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":null,"billing_code":"48550","description":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"32850","description":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4025","description":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 2 HRS NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF GT 2 HRS NO REASON GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 2 HOURS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9580","description":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN/LESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"A4672","description":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.69,"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":null,"billing_code":"J3535","description":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4082","description":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9630","description":"DRUGS MEDICAMENTS DISPENSED OFFICE FOR HOME USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9630","description":"DRUGS/MEDICAMENTS DISPENSED OFFICE FOR HOME USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4014F","description":"DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1040F","description":"DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9213","description":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9212","description":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CUTANEOUS VASCULAR LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM GT 4.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.97,"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":null,"billing_code":"0419T","description":"DSTRJ NEUROFIBROMAS XTNSV FACE HEAD NECK GT 50","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0420T","description":"DSTRJ NEUROFIBROMAS XTNSV TRNK EXTREMITIES GT 100","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-HEPB-IPV VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90698","description":"DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTL AND EXT ORAL EVALUATION - PROBLEM FOCUSED REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0160","description":"DTL AND EXT ORAL EVALUATION - PROBLEM FOCUSED REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4256F","description":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4256F","description":"DURATION GEN NEUR ANESTH LT 60 MIN DOCD RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4255F","description":"DURATION GEN NEUR ANESTH 60 MINS OR GT DOC RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2037","description":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2037","description":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DARK ADAPTATION EXAM INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92284","description":"DX DARK ADAPTATION EXAM INTERPRETATION and REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[216572],"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":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[216572],"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":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5364","description":"DYSPHAGIA SCREENING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6010F","description":"DYSPHAGIA SCREENING PRIOR ORAL INTAKE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED NOT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1018F","description":"DYSPNEA ASSESSED NOT PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA ASSESSED PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1019F","description":"DYSPNEA ASSESSED PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0535F","description":"DYSPNEA MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3452F","description":"DYSPNEA NOT SCREENED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3451F","description":"DYSPNEA SCRND MOD-SEVERE DYSPNEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPNEA SCRND NO-MILD DYSPNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3450F","description":"DYSPNEA SCRND NO-MILD DYSPNEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0316","description":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0316","description":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0470","description":"Diagnostic casts","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OR GT AREAS CHRONIC STAGE III and IV ULCERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0281","description":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0281","description":"E-STIM 1 OR GT AREAS CHRONIC STAGE III and IV ULCERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0283","description":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0283","description":"E-STIM 1 OR GT AREAS OTH THAN WND CARE PART TX PLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1/MORE AREAS WND CARE OTH THAN DESC G0281","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0282","description":"E-STIM 1/MORE AREAS WND CARE OTH THAN DESC G0281","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8930","description":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDIRECTLY FAB POST SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2953","description":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDIRECTLY FAB POST SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2953","description":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREFABRICATED POST - SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2957","description":"EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREFABRICATED POST - SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2957","description":"EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"69090","description":"EAR PIERCING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROTECTOR ATTENUATION MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92596","description":"EAR PROTECTOR ATTENUATION MEASUREMENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR PROTECTOR ATTENUATION MEASUREMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92596","description":"EAR PROTECTOR ATTENUATION MEASUREMENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION NOT PERF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"EARLY ELECTIVE DELIVERY/EARLY INDUCTION PERFORMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0405","description":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0405","description":"ECG RTN ECG W/12 LEADS INTERPR and REPORT ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0403","description":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0403","description":"ECG RTN ECG W/12 LEADS SCR INIT PREVNTV PE W/I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0404","description":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0404","description":"ECG RTN ECG W/12 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[216572],"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":"ECHOSCLEROTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2202","description":"ECHOSCLEROTHERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.8016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33955","description":"ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.8016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.8016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33953","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33951","description":"ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":319.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":319.8003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33985","description":"ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":319.8003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":319.8003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33963","description":"ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.4196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33957","description":"ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33959","description":"ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33969","description":"ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33965","description":"ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98961","description":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 2-4 PTS","negotiated_rates":[{"provider_references":[216572],"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":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98962","description":"EDUCATION AND TRAINING SELF-MGMT NONPHYS 5-8 PTS","negotiated_rates":[{"provider_references":[216572],"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":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98961","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98962","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95724","description":"EEG COMPLETE STD PHYS/QHP GT 60 HR LT 84 HR W/VEEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITH VEEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95718","description":"EEG PHYS/QHP 2-12 HR WITH VEEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG PHYS/QHP 2-12 HR WITH VEEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95718","description":"EEG PHYS/QHP 2-12 HR WITH VEEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.0753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43257","description":"EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.0753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.0753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 W/DPLMNT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43290","description":"EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 W/RMVL NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43291","description":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 W/RMVL NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43291","description":"EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43210","description":"EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8734","description":"ELDER MALTREATMENT SCREENING DOC NEG NO F/U REQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8735","description":"ELDER MALTX SCR DOC POS F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTX SCR DOC POSITIVE and F/U PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8733","description":"ELDER MALTX SCR DOC POSITIVE and F/U PLAN IS DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"G0295","description":"ELECMAGNET TX 1 OR GT AREA WND CARE NOT G0329/OTH USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ULCERS NOT HEALING 30 DAYS CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0329","description":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0329","description":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE","negotiated_rates":[{"provider_references":[216572],"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":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9355","description":"ELECTIVE DELIVERY C-BIRTH/INDUCTION LBR NOT PERF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9356","description":"ELECTIVE DELVERY BY C/SECT /INDUCTION LABOR PERF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTIVE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9643","description":"ELECTIVE SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4555","description":"ELECTRD/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4066F","description":"ELECTROCONVULSIVE THERAPY (ECT) PROVIDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3751F","description":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3751F","description":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3752F","description":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3752F","description":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROEJACULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55870","description":"ELECTROEJACULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROEJACULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55870","description":"ELECTROEJACULATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3650F","description":"ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.2499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.2499,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8092","description":"ELECTRON BEAM COMPUTED TOMOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0481","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1505","description":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513F","description":"ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATED HTN BP READING DOC and INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"ELEVATED HTN BP READING DOC and INDICATED F/U DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8427","description":"ELIG CLIN ATTSTS DOC M REC OBTD UPD/REV PT MEDS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8430","description":"ELIG CLIN DOC MR PT NOT ELIG CUR MEDS UPDATE/REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8952","description":"ELVATD/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC-DOC PT NOT ELIG EM SCR TIME ENCTR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8535","description":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9963","description":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9962","description":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3601","description":"EMERG STAT LAB CHARGE PT HOMBOUND/RESID NRS FACL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["23"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5160","description":"EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5162","description":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5161","description":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9752","description":"EMERGENCY SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7990","description":"EMERGENCY TRACHEOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9970","description":"ENAMEL MICROABRASION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ENDOSSEOUS IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3460","description":"ENDODONTIC ENDOSSEOUS IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ENDOSSEOUS IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3460","description":"ENDODONTIC ENDOSSEOUS IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTERIOR TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3310","description":"ENDODONTIC THERAPY ANTERIOR TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTERIOR TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3310","description":"ENDODONTIC THERAPY ANTERIOR TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D3330","description":"ENDODONTIC THERAPY MOLAR TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREMOLAR TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3320","description":"ENDODONTIC THERAPY PREMOLAR TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREMOLAR TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3320","description":"ENDODONTIC THERAPY PREMOLAR TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47543","description":"ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX URTR and /RNL PELVIS NONENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50606","description":"ENDOLUMINAL BX URTR and /RNL PELVIS NONENDOSCOPIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL BX URTR and /RNL PELVIS NONENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50606","description":"ENDOLUMINAL BX URTR and /RNL PELVIS NONENDOSCOPIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":304.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DC 12M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9823","description":"ENDOMETRIAL SAMPLE/HYSTEROSCOPY BX and RSLT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCOPY BX and RSLT NOT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCOPY BX and RSLT NOT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL SMP/HYSTEROSCPY BX and RSLT NT DOC 12M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9824","description":"ENDOMETRIAL SMP/HYSTEROSCPY BX and RSLT NT DOC 12M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36482","description":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1049.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1049.2993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36482","description":"ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1049.2993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1049.2993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36483","description":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36483","description":"ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9474","description":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.76,"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":null,"billing_code":"90882","description":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MGMT PURPOSES PSYC PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90882","description":"ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3630","description":"EOSINOPHIL COUNT BLOOD DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9703","description":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54901","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":521.8089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":521.8089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":589.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":589.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54901","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":521.8089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":521.8089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":589.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":589.8465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54900","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54900","description":"EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INJECTABLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4145","description":"EPIFIX INJECTABLE 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIKERATOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65767","description":"EPIKERATOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIKERATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65767","description":"EPIKERATOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4330F","description":"EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1137F","description":"EPISODE BACK PAIN LASTING GT 12 WKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT 12 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1137F","description":"EPISODE BACK PAIN LASTING GT 12 WKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1135F","description":"EPISODE BACK PAIN LASTING GT SIX WEEKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING GT SIX WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1135F","description":"EPISODE BACK PAIN LASTING GT SIX WEEKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1136F","description":"EPISODE BACK PAIN LASTING 12 WEEKS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1134F","description":"EPISODE BACK PAIN LASTING SIX WEEKS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EQUESTRIAN/HIPPOTHERAPY PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8940","description":"EQUESTRIAN/HIPPOTHERAPY PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0397T","description":"ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3126F","description":"ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1834.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1834.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1994.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1994.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2241.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2241.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43287","description":"ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1834.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1834.3741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1994.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1994.2742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2241.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2241.8283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1881.1353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1881.1353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2107.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2107.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2335.3508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2335.3508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43288","description":"ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1881.1353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1881.1353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.5571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2107.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2107.4131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":226.2777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2335.3508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2335.3508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90967","description":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","negotiated_rates":[{"provider_references":[216572],"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":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90967","description":"ESRD RELATED SVC LT FULL MONTH LT 2 YR OLD","negotiated_rates":[{"provider_references":[216572],"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":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90969","description":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216572],"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":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90969","description":"ESRD RELATED SVC LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216572],"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":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90968","description":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216572],"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":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90968","description":"ESRD RELATED SVC LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216572],"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":"ESRD RELATED SVC MONTHLY and LT 2 YR OLD 4 OR GT VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90951","description":"ESRD RELATED SVC MONTHLY and LT 2 YR OLD 4 OR GT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.6195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY and LT 2 YR OLD 4 OR GT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90951","description":"ESRD RELATED SVC MONTHLY and LT 2 YR OLD 4 OR GT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.6195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.6195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.3893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":521.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":521.3647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":521.3647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":521.3647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":248.7699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":248.7699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":248.7699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":248.7699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.2012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.2012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT VISITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.2012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.2012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.9464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.9464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH LT 2YR OLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.9464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.9464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3316F","description":"ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3315F","description":"ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":176.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":176.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28890","description":"ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":176.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":176.5238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1205F","description":"ETIOLOGY OF EPILEPSY SYNDROME RVWD AND DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.84,"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":null,"billing_code":"D9219","description":"EVAL FOR MOD DEEP SEDATION GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9219","description":"EVAL FOR MOD/DEEP SEDATION/GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"92618","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92605","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION BY OCCULARIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9150","description":"EVALUATION BY OCCULARIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.7972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61650","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.7972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.7972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61651","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61651","description":"EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1030.4311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1030.4311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1143.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1143.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.2892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.2892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34708","description":"EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1030.4311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1030.4311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1143.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1143.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.8625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.2892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.2892,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXAM AND SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88363","description":"EXAM AND SELECT ARCHIVE TISSUE MOLECULAR ANALYSI","negotiated_rates":[{"provider_references":[216572],"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":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G GT 4.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15837","description":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.6349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.6349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":615.5652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":615.5652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15837","description":"EXC EXCESSIVE SKIN and SUBQ TISSUE FOREARM/HAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.6349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.6349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":615.5652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":615.5652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7441","description":"EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7441","description":"EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7440","description":"EXC MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7440","description":"EXC MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL LT 5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ LT 3CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47536","description":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47536","description":"EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":389.2875,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.9069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.9069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50435","description":"EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":365.9069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":365.9069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"EXCHNG TRANSFUSION BLOOD NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15836","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15836","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE ARM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15835","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15835","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE BUTTOCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15834","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15834","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE HIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15833","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15833","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE LEG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.7725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15839","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":507.0791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":507.0791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":638.9459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":638.9459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15839","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.7015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":507.0791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":507.0791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":638.9459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":638.9459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15832","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15832","description":"EXCISION EXCESSIVE SKIN AND SUBQ TISSUE THIGH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.8015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":560.1531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.93,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION S/N/H/F/G GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G GT 4.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL MATRIX PERMANENT REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL MATRIX PERMANENT REMOVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BENIGN LESION COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7412","description":"EXCISION OF BENIGN LESION COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN LESION COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7412","description":"EXCISION OF BENIGN LESION COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN LESION GREATER THAN 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7411","description":"EXCISION OF BENIGN LESION GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN LESION GREATER THAN 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7411","description":"EXCISION OF BENIGN LESION GREATER THAN 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN LESION UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7410","description":"EXCISION OF BENIGN LESION UP TO 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN LESION UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7410","description":"EXCISION OF BENIGN LESION UP TO 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYPERPLASTIC TISSUE-PER ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7970","description":"EXCISION OF HYPERPLASTIC TISSUE-PER ARCH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYPERPLASTIC TISSUE-PER ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7970","description":"EXCISION OF HYPERPLASTIC TISSUE-PER ARCH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION GT 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7414","description":"EXCISION OF MALIGNANT LESION GT 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION GT 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7414","description":"EXCISION OF MALIGNANT LESION GT 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION OVER 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7414","description":"EXCISION OF MALIGNANT LESION OVER 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7415","description":"EXCISION OF MALIGNANT LESION COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7415","description":"EXCISION OF MALIGNANT LESION COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7413","description":"EXCISION OF MALIGNANT LESION UP TO 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MALIGNANT LESION UP TO 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7413","description":"EXCISION OF MALIGNANT LESION UP TO 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERICORONAL GINGIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7971","description":"EXCISION OF PERICORONAL GINGIVA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERICORONAL GINGIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7971","description":"EXCISION OF PERICORONAL GINGIVA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7981","description":"EXCISION OF SALIVARY GLAND BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ LT 1.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"EXEMESTANE 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0156","description":"EXEMESTANE 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9451","description":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9300","description":"EXERCISE EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEST FOR BRONCHOSPASM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"EXERCISE TEST FOR BRONCHOSPASM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7287","description":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7287","description":"EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF AN UNERUPTED TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7280","description":"EXPOSURE OF AN UNERUPTED TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF AN UNERUPTED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7280","description":"EXPOSURE OF AN UNERUPTED TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9975","description":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4673","description":"EXT LINE W/EASY LOCK CONNECTORS USED W/DIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETINOPATHY 1 OR GT SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.1272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.1272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67229","description":"EXTENSIVE RETINOPATHY 1 OR GT SESS PRETERM INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.1272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.1272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"D9972","description":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9973","description":"EXTERNAL BLEACHING - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89272","description":"EXTND CUL OOCYTE/EMBRYO 4-7 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0250","description":"EXTRA-ORAL - 2D PROJECTION X-RAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9034","description":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7111","description":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7111","description":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERU TOOTH RQR REMV BONE AND SECTN TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7210","description":"EXTRACTION ERU TOOTH RQR REMV BONE AND SECTN TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERU TOOTH RQR REMV BONE and /SECTN TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7210","description":"EXTRACTION ERU TOOTH RQR REMV BONE and /SECTN TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERU TOOTH RQR REMV BONE and /SECTN TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7210","description":"EXTRACTION ERU TOOTH RQR REMV BONE and /SECTN TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7140","description":"EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7140","description":"EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4200F","description":"EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4201F","description":"EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 GLASS CASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2756","description":"EYE GLASS CASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2026F","description":"EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroejaculation","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55870","description":"Electroejaculation","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Emergency tracheotomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7990","description":"Emergency tracheotomy","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 tracheotomy","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7990","description":"Emergency tracheotomy","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9970","description":"Enamel microabrasion","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9300","description":"Exercise equipment","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RPT CT CT MRI/MRA CH/N/U/S N F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"F RPT CT CT MRI/MRA CH/N/U/S N F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8085","description":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9345","description":"F/U REC DOC INCIDENTALLY DETECTED PULM NODULES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9347","description":"F/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M0301","description":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9941","description":"FABRICATION OF ATHLETIC MOUTHGUARD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9683","description":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EDU SRVC OF CKD; GRP PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0421","description":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0421","description":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0420","description":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0420","description":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0447","description":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0447","description":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0473","description":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0473","description":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE HH NSG VST RHC/FQHC AREA SHTG HHA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0490","description":"FACE-TO-FACE HH NSG VST RHC/FQHC AREA SHTG HHA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5925","description":"FACIAL AUGMENTATION IMPLANT PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BONES-COMP RDUC FIX AND MX SURG APPROACHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7780","description":"FACIAL BONES-COMP RDUC FIX AND MX SURG APPROACHES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BONES-COMP RDUC FIX AND MX SURG APPROACHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7780","description":"FACIAL BONES-COMP RDUC FIX AND MX SURG APPROACHES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5912","description":"FACIAL MOULAGE COMPLETE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5911","description":"FACIAL MOULAGE SECTIONAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5919","description":"FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5929","description":"FACIAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518F","description":"FALLS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FALLS RISK ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3288F","description":"FALLS RISK ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H1011","description":"FAM ASSESS LIC BHVAL HLTH PROF STATE DEFINED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCE BNS - COMP RDUC W FIX AND MX SURG APPRCHES CPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7680","description":"FCE BNS - COMP RDUC W FIX AND MX SURG APPRCHES CPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCE BNS - COMP RDUC W/FIX and MX SURG APPRCHES CPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7680","description":"FCE BNS - COMP RDUC W/FIX and MX SURG APPRCHES CPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCE BNS - COMP RDUC W/FIX and MX SURG APPRCHES CPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7680","description":"FCE BNS - COMP RDUC W/FIX and MX SURG APPRCHES CPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8542","description":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8541","description":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0072T","description":"FCSD US ABLTJ UTERINE LEIOMYOMAT GT or equal to 200 CC T","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8967","description":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9928","description":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"G0467","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0466","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0466","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0468","description":"FEDERALLY QUALIFIED HEALTH CENTER VST IPPE/AWV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0468","description":"FEDERALLY QUALIFIED HEALTH CENTER VST IPPE/AWV;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0469","description":"FEDERALLY QUALIFIED HEALTH CENTER VST MH NEW PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0469","description":"FEDERALLY QUALIFIED HEALTH CENTER VST MH NEW PT;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0470","description":"FEDERALLY QUALIFIED HEALTH CNTR VST MH ESTAB PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0470","description":"FEDERALLY QUALIFIED HEALTH CNTR VST MH ESTAB PT;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5951","description":"FEEDING AID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1016","description":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9541","description":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.3906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9637","description":"FINAL REPORT W/DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9548","description":"FINAL REPORTS IMAG STDY STAT NO F/U IMAG RECOM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STS W/F/U IMAG REC/FINAL RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9550","description":"FINAL REPORTS IMAG STUDIES F/U IMAGING RECOM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9638","description":"FINAL REPORTS W/O DOC 1/MORE DOSE REDUCTION TECH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CH/N/U/S N F/U IMAG REC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9554","description":"FINAL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG RECOM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/CTA MRI CHS/NCK WO THYRD NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9557","description":"FINAL RPT CT/MRI CHEST/NCK/U/S NO THR NOD LT 1.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9551","description":"FINAL RPT IMAG STDY W/O INCIDENTAL FND LES NOTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2040","description":"FINANCIAL MGMT SELF-DIRECTED WAIVER; PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0138","description":"FINASTERIDE 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5060F","description":"FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"A4730","description":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"92354","description":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92355","description":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92354","description":"FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT","negotiated_rates":[{"provider_references":[216572],"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":"FITTING SPECTACLE MOUNTED LW VIS AID TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92355","description":"FITTING SPECTACLE MOUNTED LW VIS AID TLSCP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"92352","description":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"92353","description":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92341","description":"FITTING SPECTACLES XCPT APHAKIA BIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92342","description":"FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8220","description":"FIXED APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8220","description":"FIXED APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D6980","description":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9120","description":"FIXED PARTIAL DENTURE SECTIONING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD ALLOPATCHHD OR MATRIX HD PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92615","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92615","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92613","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92613","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92617","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92617","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"Q9983","description":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q9983","description":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9586","description":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9586","description":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4274F","description":"FLU IMMUNO ADMIND/PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9588","description":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5986","description":"FLUORIDE GEL CARRIER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9552","description":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9552","description":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9602","description":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0175","description":"FLUTAMIDE ORAL 125 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OUTCM ASMT TOOL DOC PREV 30 DA AND CARE PLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8942","description":"FNC OUTCM ASMT TOOL DOC PREV 30 DA AND CARE PLN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8539","description":"FO ASMT DOC POS CP BSD ON ID DEF DOC W/N 2D ASMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58970","description":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.6916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58970","description":"FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.6916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.6916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0246","description":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0246","description":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9225","description":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9226","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT EXAMINATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2028F","description":"FOOT EXAMINATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESSURE OFF LOAD/SUPP DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9283","description":"FOOT PRESSURE OFF LOAD/SUPP DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8410","description":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3150F","description":"FORCEPS ESOPHAGEAL BIOPSY PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5140","description":"FOSTER CARE ADULT; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5141","description":"FOSTER CARE ADULT; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0041","description":"FOSTER CARE CHILD NON-THERAPEUTIC PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0042","description":"FOSTER CARE CHILD NON-THERAPEUTIC PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5145","description":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5146","description":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"C9507","description":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2415.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2415.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2506.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2506.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2536.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2536.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2386.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2415.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2415.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2506.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2506.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2536.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2536.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2163.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2163.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2173.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2173.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2271.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2271.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2282.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2282.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2163.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2163.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2173.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2173.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2271.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2271.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2282.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2282.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2259.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2259.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2288.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2288.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2372.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2372.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2403.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2403.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2259.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2259.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2288.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2288.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2372.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2372.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2403.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2403.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SFT TSS GFT EA ADD CNTIG T EDNT T SAME SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4278","description":"FREE SFT TSS GFT EA ADD CNTIG T EDNT T SAME SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SFT TSS GFT EA ADD CNTIG T/EDNT T SAME SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4278","description":"FREE SFT TSS GFT EA ADD CNTIG T/EDNT T SAME SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SFT TSS GFT EA ADD CNTIG T/EDNT T SAME SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4278","description":"FREE SFT TSS GFT EA ADD CNTIG T/EDNT T SAME SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SFT TSS GFT PROC 1ST T EDNTULS T PSTN GFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4277","description":"FREE SFT TSS GFT PROC 1ST T EDNTULS T PSTN GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SFT TSS GFT PROC 1ST T/EDNTULS T PSTN GFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4277","description":"FREE SFT TSS GFT PROC 1ST T/EDNTULS T PSTN GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SFT TSS GFT PROC 1ST T/EDNTULS T PSTN GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4277","description":"FREE SFT TSS GFT PROC 1ST T/EDNTULS T PSTN GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7963","description":"FRENULOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7963","description":"FRENULOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86927","description":"FRESH FROZEN PLASMA THAWING EACH UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT FREEZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86930","description":"FROZEN BLOOD EACH UNIT FREEZING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86932","description":"FROZEN BLOOD EACH UNIT FREEZING AND THAWING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86931","description":"FROZEN BLOOD EACH UNIT THAWING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4016","description":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4018","description":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"FULL M DEBRID ENBL COMP OR EVAL AND DX SUBQ VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4355","description":"FULL M DEBRID ENBL COMP OR EVAL AND DX SUBQ VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL MOUTH DEB ENABLE COMP PDL EVAL and DX SUBS V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4355","description":"FULL MOUTH DEB ENABLE COMP PDL EVAL and DX SUBS V","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL MOUTH DEB ENABLE COMP PDL EVAL and DX SUBS V","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4355","description":"FULL MOUTH DEB ENABLE COMP PDL EVAL and DX SUBS V","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8942","description":"FUNC O ASMT STDZ TL DOC PREV 30 DAYS and CP 2 DYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9227","description":"FUNC O/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8540","description":"FUNC O/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9916","description":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3040F","description":"FUNCTIONAL EXPIRATORY VOLUME LT 40 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1170F","description":"FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1175F","description":"FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP LT 37","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1046","description":"FUNCTIONAL STATUS MSR OKS AT 1 YEAR POSTOP LT 37","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9918","description":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME GT EQUAL 40 PCT PREDICTED VALUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME GT EQUAL 40 PCT PREDICTED VALUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3042F","description":"FUNCTJL EXPIR VOLUME GT or equal to 40 PCT PREDICTED VA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0395","description":"FUSION 2 MORE 3D IMAGES VOLUME 1 MORE MODALITIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 2/MORE 3D IMAGES VOLUME 1/MORE MODALITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0395","description":"FUSION 2/MORE 3D IMAGES VOLUME 1/MORE MODALITIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5100F","description":"FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Facial moulage complete","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5912","description":"Facial moulage complete","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5911","description":"Facial moulage sectional","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5919","description":"Facial prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5951","description":"Feeding aid","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-67 CITRATE DIAGNOSTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9556","description":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-67 CITRATE DIAGNOSTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9556","description":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9587","description":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9800","description":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9800","description":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58976","description":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58976","description":"GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78265","description":"GASTRIC EMPTYING IMG STD W/SMALL BOWEL TRANSIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78265","description":"GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":191.4874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL FAT ABSORPTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3708","description":"GASTROINTESTINAL FAT ABSORPTION STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN NEONATAL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPN NEONATAL FEEDING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.7639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL GT 48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL GT 48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL GT 48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL GT 48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3294F","description":"GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEFITINIB ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8565","description":"GEFITINIB ORAL 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3854","description":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3866","description":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COUNSELING PHYS SUPERVISION EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0265","description":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COUNSELING PHYS SUPERVISION EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0265","description":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3800","description":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3845","description":"GENETIC TESTING FOR ALPHA-THALASSEMIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3861","description":"GENETIC TESTING SCN5A AND VARIANTS FOR SUSPCTED BS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1118F","description":"GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PROPHYLAXIS NSAID USE PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4017F","description":"GI PROPHYLAXIS NSAID USE PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1008F","description":"GI and RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING FLAP PROC-4 OR GT CONTIG TH/TOOTH BND SPS/QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4240","description":"GING FLAP PROC-4 OR GT CONTIG TH/TOOTH BND SPS/QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING FLAP PROC-4 OR GT CONTIG TH/TOOTH BND SPS/QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4240","description":"GING FLAP PROC-4 OR GT CONTIG TH/TOOTH BND SPS/QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4212","description":"GING GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4212","description":"GING/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GING/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4212","description":"GING/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL FLAP PROC-1-3 CONTIG TH/TT BND SPS/QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4241","description":"GINGIVAL FLAP PROC-1-3 CONTIG TH/TT BND SPS/QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL FLAP PROC-1-3 CONTIG TH/TT BND SPS/QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4241","description":"GINGIVAL FLAP PROC-1-3 CONTIG TH/TT BND SPS/QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL IRRIGATION - PER QUADRANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4921","description":"GINGIVAL IRRIGATION - PER QUADRANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL IRRIGATION MEDICINAL AGENT - /QUADRANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4921","description":"GINGIVAL IRRIGATION MEDICINAL AGENT - /QUADRANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVAL IRRIGATION MEDICINAL AGENT - /QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4921","description":"GINGIVAL IRRIGATION MEDICINAL AGENT - /QUADRANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT PLSTY 1-3 CNTIG TOOTH BOUND SPACE-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4211","description":"GINGIVECT PLSTY 1-3 CNTIG TOOTH BOUND SPACE-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT PLSTY 4 OR GRT CNTIG TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4210","description":"GINGIVECT PLSTY 4 OR GRT CNTIG TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4211","description":"GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4211","description":"GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT/PLSTY 4 OR GT CNTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4210","description":"GINGIVECT/PLSTY 4 OR GT CNTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECT/PLSTY 4 OR GT CNTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4210","description":"GINGIVECT/PLSTY 4 OR GT CNTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGL FLP PROC 1-3 CONTIG TOOTH BOUND SPACE-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4241","description":"GINGL FLP PROC 1-3 CONTIG TOOTH BOUND SPACE-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGL FLP PROC 4 OR GRT CONTIG TOOTH BOUND SPACE-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4240","description":"GINGL FLP PROC 4 OR GRT CONTIG TOOTH BOUND SPACE-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0117","description":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0117","description":"GLAUC SCR HI RISK BY OPTOMETRST/OPHTHALMOLOGIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0118","description":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0118","description":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST/OPHTHLGIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517F","description":"GLAUCOMA PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S9083","description":"GLOBAL FEE URGENT CARE CENTERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0400","description":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0540F","description":"GLUCOCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0540F","description":"GLUCORTICOID MANAGEMENT PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2410","description":"GOLD FOIL - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2410","description":"GOLD FOIL - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2430","description":"GOLD FOIL - THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2430","description":"GOLD FOIL - THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2420","description":"GOLD FOIL - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GOLD FOIL - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2420","description":"GOLD FOIL - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6549","description":"GRADIENT COMPRESSION GMT NOS FOR DAYTIME USE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/SLEEVE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6549","description":"GRADIENT COMPRESSION STOCKING/SLEEVE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4132","description":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX AND STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX AND STRAVIXPL P SC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRM GRAFIXPL PRM STRAVIX AND STRAVIXPL P SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4133","description":"GRAFIX PRM GRAFIXPL PRM STRAVIX AND STRAVIXPL P SC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.04,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0091","description":"GRANISETRON HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRP PART HOS 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GRP PART HOS 45-50 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1007","description":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1007","description":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TISSUE REGEN - NONRESORB BARRIER PER SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4267","description":"GUID TISSUE REGEN - NONRESORB BARRIER PER SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUID TISSUE REGEN - RESORBABLE BARRIER PER SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4266","description":"GUID TISSUE REGEN - RESORBABLE BARRIER PER SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TISS REGEN NAT TEETH-NON-RESORB BR/SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4267","description":"GUIDED TISS REGEN NAT TEETH-NON-RESORB BR/SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TISS REGEN NAT TEETH-NON-RESORB BR/SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4267","description":"GUIDED TISS REGEN NAT TEETH-NON-RESORB BR/SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TISS REGEN RESORB BARR PERIRADICULAR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3432","description":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TISS REGEN RESORB BARR PERIRADICULAR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3432","description":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REG NAT TEETH-RESORB BARRIER/SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4266","description":"GUIDED TISSUE REG NAT TEETH-RESORB BARRIER/SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REG NAT TEETH-RESORB BARRIER/SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4266","description":"GUIDED TISSUE REG NAT TEETH-RESORB BARRIER/SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2012","description":"HABILITATION EDUCATIONAL WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2013","description":"HABILITATION EDUCATIONAL WAIVER; PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2014","description":"HABILITATION PREVOCATIONAL WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2015","description":"HABILITATION PREVOCATIONAL WAIVER; PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2017","description":"HABILITATION RESIDENTIAL WAIVER; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2016","description":"HABILITATION RESIDENTIAL WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2019","description":"HABILITATION SUPP EMPLOYMENT WAIVER; PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2018","description":"HABILITATION SUPP EMPLOYMENT WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28289","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.51,"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":null,"billing_code":"V2600","description":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.31,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7295","description":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BONE FOR USE AUTOGENOUS GRAFTING PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7295","description":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2055","description":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3517F","description":"HBV STATUS ASSESSED W/ RESULTS IN 1 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9912","description":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9912","description":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0395T","description":"HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RDNCL SKN SURF BRACHYTX LES LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL SKN SURF BRACHYTX LES LT 2CM/1 CHAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77767","description":"HDR RDNCL SKN SURF BRACHYTX LES LT 2CM/1 CHAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4167F","description":"HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH CLUB MEMBERSHIP ANNUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9970","description":"HEALTH CLUB MEMBERSHIP ANNUAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5267","description":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5267","description":"HEARING AID/ALD/SUPP/ACCESS NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5008","description":"HEARING SCREENING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3230F","description":"HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMISECTION NOT INCLUDING ROOT CANAL THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3920","description":"HEMISECTION NOT INCLUDING ROOT CANAL THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMISECTION NOT INCLUDING ROOT CANAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3920","description":"HEMISECTION NOT INCLUDING ROOT CANAL THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIAL VIA FUNCTIONG AV FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4052F","description":"HEMODIAL VIA FUNCTIONG AV FISTULA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS MACHINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1590","description":"HEMODIALYSIS MACHINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505F","description":"HEMODIALYSIS PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4054F","description":"HEMODIALYSIS VIA CATHETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4053F","description":"HEMODIALYSIS VIA FUNCTIONING AVGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3281F","description":"HEMOGLOBIN LEVEL LT 11 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL LT 11 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3281F","description":"HEMOGLOBIN LEVEL LT 11 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3280F","description":"HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT EQUAL 13 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3279F","description":"HEMOGLOBIN LEVEL GT or equal to 13 G/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPHILIA CLOTTING FACTOR NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7199","description":"HEMOPHILIA CLOTTING FACTOR NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":200.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":200.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3220F","description":"HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3218F","description":"HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0344U","description":"HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 2 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4148F","description":"HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4155F","description":"HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3513F","description":"HEPATITIS B SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4149F","description":"HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4157F","description":"HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3266F","description":"HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3514F","description":"HEPATITIS C SCREENING DOCUMENTED AS PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3117F","description":"HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"Q9959","description":"HI OSM CONTRST MATL 150-199 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 200-249 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9960","description":"HI OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 200-249 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9960","description":"HI OSM CONTRST MATL 200-249 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 300-349 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9962","description":"HI OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 300-349 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9962","description":"HI OSM CONTRST MATL 300-349 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90647","description":"HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRP-T VACCINE 4 DOSE SCHEDULE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90648","description":"HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90644","description":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90644","description":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTENS BHV CNSL PREV STI IND ED SEX BHV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI IND ED SEX BHV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENS BHV CNSL PREV STI; IND ED SEX BHV;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0445","description":"HIGH INTENS BHV CNSL PREV STI; IND ED SEX BHV;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3552F","description":"HIGH RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3273F","description":"HIGH RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1653","description":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1653","description":"HIP ORTHOSIS BIL TH CUFFS ADJ ABD SPRD BAR ADLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0260","description":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY NEW OR CHANGING MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1050F","description":"HISTORY NEW OR CHANGING MOLES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF AIDS-DEFINING CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3490F","description":"HISTORY OF AIDS-DEFINING CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3492F","description":"HISTORY OF NADIR CD4 Plus CELL COUNT LT 350 CELLS/MM3","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAM/PURE HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9782","description":"HISTORY OF/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9494","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9494","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL THERAPY; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9501","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9501","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q12 HRS DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9500","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9500","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q24 HRS DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9497","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9497","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL TX; Q3 HRS DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9504","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9504","description":"HIT ABX ANTIVIRAL/ANTIFUNGAL; Q4 HRS; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5517","description":"HIT ALL SPL NECES RESTOR CATH PATENCY/DECLOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9363","description":"HIT ANTI-SPASMOTIC TX; CARE SPL AND EQP PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9359","description":"HIT ANTI-TUMOR NECROS FACTOR IV TX PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9359","description":"HIT ANTI-TUMOR NECROS FACTOR IV TX; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9503","description":"HIT ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9503","description":"HIT ANTIBIOTC ANTIVIRAL/ANTIFUNGAL; Q6 HRS; DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9330","description":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9330","description":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONT PAIN MGMT INFUS; CARE COORD PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9326","description":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONT PAIN MGMT INFUS; CARE COORD PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9326","description":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9490","description":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GROWTH HORMONE W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9558","description":"HIT GROWTH HORMONE W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GROWTH HORMONE W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9558","description":"HIT GROWTH HORMONE W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; GT 1 LITER NO GT 2 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9375","description":"HIT HYDRATION TX; GT 1 LITER NO GT 2 LITERS DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; GT 1 LITER NO GT 2 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9375","description":"HIT HYDRATION TX; GT 1 LITER NO GT 2 LITERS DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; GT 2 LITERS NO GT 3 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9376","description":"HIT HYDRATION TX; GT 2 LITERS NO GT 3 LITERS DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; GT 2 LITERS NO GT 3 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9376","description":"HIT HYDRATION TX; GT 2 LITERS NO GT 3 LITERS DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9338","description":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9328","description":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9559","description":"HIT INTERFERON W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9331","description":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9331","description":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9327","description":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9327","description":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PAIN MANAGEMENT INFUSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9325","description":"HIT PAIN MANAGEMENT INFUSION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PAIN MANAGEMENT INFUSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9325","description":"HIT PAIN MANAGEMENT INFUSION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9348","description":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9368","description":"HIT TOTAL PARENTERAL NUTRIT; GT 3 LITERS-DA -DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9364","description":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9366","description":"HIT TPN; GT 1 LITER BUT NOT GT 2 LITERS-DA-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9367","description":"HIT TPN; GT 2 LITERS BUT NOT GT 3 LITERS-DA -DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9347","description":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3491F","description":"HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA CONTROL PLAN OF CARE DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575F","description":"HIV RNA CONTROL PLAN OF CARE DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3502F","description":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3502F","description":"HIV RNA VIRAL LOAD LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3503F","description":"HIV RNA VIRAL LOAD NOT LT LIMITS OF QUANTIF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3292F","description":"HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3645","description":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8100","description":"HOLDING CHAMB/SPACR W/INHAL/NEBULIZR; W/O MASK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9122","description":"HOM HLTH AIDE/CERT NURSE ASST PROV CARE HOM;-HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9365","description":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INJ TX PALIVIZUMAB W/ADMN PHRM CARE-PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9562","description":"HOM INJ TX PALIVIZUMAB W/ADMN PHRM CARE-PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HD; ADMIN PROF PHRM SRVC SPL AND EQP PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9335","description":"HOM TX HD; ADMIN PROF PHRM SRVC SPL AND EQP PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HD; ADMIN PROF PHRM SRVC SPL AND EQP PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9335","description":"HOM TX HD; ADMIN PROF PHRM SRVC SPL AND EQP PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9590","description":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9061","description":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5110","description":"HOME CARE TRAINING FAMILY; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5111","description":"HOME CARE TRAINING FAMILY; PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5108","description":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5109","description":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5115","description":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5116","description":"HOME CARE TRAINING NON-FAMILY; PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5170","description":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1021","description":"HOME HEALTH AIDE/CERTIFIED NURSE ASST PER VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5180","description":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5181","description":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; GT 3 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9377","description":"HOME INFUS THERAPY HYDRATION TX; GT 3 LITERS DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; GT 3 LITERS DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9377","description":"HOME INFUS THERAPY HYDRATION TX; GT 3 LITERS DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5035","description":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5521","description":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9346","description":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5502","description":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5501","description":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5497","description":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5498","description":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9336","description":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5523","description":"HOME INFUS TX INSERT MIDLINE CVC NRS SRVC ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5522","description":"HOME INFUS TX INSERT PICC NRS SRVC ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5518","description":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHELATION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9355","description":"HOME INFUSION THERAPY CHELATION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHELATION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9355","description":"HOME INFUSION THERAPY CHELATION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTI-EMETIC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9351","description":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANTI-EMETIC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9351","description":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9353","description":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9361","description":"HOME INFUSION THERAPY DIURETIC IV TX; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9373","description":"HOME INFUSION THERAPY HYDRATION TX; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9373","description":"HOME INFUSION THERAPY HYDRATION TX; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; 1 LITER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9374","description":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDRATION TX; 1 LITER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9374","description":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INFUSION THERAPY NOC; DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9379","description":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INFUSION THERAPY NOC; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9379","description":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5036","description":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TOCOLYTIC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9349","description":"HOME INFUSION THERAPY TOCOLYTIC; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TOCOLYTIC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9349","description":"HOME INFUSION THERAPY TOCOLYTIC; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5520","description":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9345","description":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHEMOTHERAPY INFUSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9329","description":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHEMOTHERAPY INFUSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9329","description":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9357","description":"HOME INFUSION TX ENZYME REPL IV TX; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9542","description":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9562","description":"HOME INJ TX PLV/OTHER MAB FOR RSV PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INJECTABLE THERAPY; HORMONAL THERAPY DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9560","description":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INJECTABLE THERAPY; HORMONAL THERAPY DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9560","description":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9214","description":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9213","description":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9208","description":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9212","description":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GESTATIONAL HYPERTENSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9211","description":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GESTATIONAL HYPERTENSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9211","description":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9209","description":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5165","description":"HOME MODIFICATIONS; PER SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99601","description":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT LT 2 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99602","description":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/SPECTY DRUG ADMN PR VST LT 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99601","description":"HOME NFS/SPECTY DRUG ADMN PR VST LT 2 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/SPECTY DRUG ADMN PR VST LT 2 HR EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99602","description":"HOME NFS/SPECTY DRUG ADMN PR VST LT 2 HR EA HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9529","description":"HOME OR SKILLED NURSING FACILITY PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9370","description":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9370","description":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9372","description":"HOME THERAPY INTERMITTENT ANTICOAGULANT INJ TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9340","description":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9372","description":"HOME THERAPY; INTERMITTENT ANTICOAGULANT INJ TX;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9810","description":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; PERITONEAL DIALYSIS PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9339","description":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; PERITONEAL DIALYSIS PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9339","description":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9538","description":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HEMATOPOIETIC HORMONE INJ TX;PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9537","description":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HEMATOPOIETIC HORMONE INJ TX;PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9537","description":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9343","description":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9341","description":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9342","description":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UTERINE MONITOR W/WO ASSOC NURSING SERVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9001","description":"HOME UTERINE MONITOR W/WO ASSOC NURSING SERVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UTERINE MONITOR W/WO ASSOC NURSING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9001","description":"HOME UTERINE MONITOR W/WO ASSOC NURSING SERVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"94005","description":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"99509","description":"HOME VISIT ASSISTANCE DAILY LIV AND PRSONAL CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99507","description":"HOME VISIT CARE AND MAINT CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EST PT LOW-MOD SEVERITY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.09,"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":null,"billing_code":"99511","description":"HOME VISIT FECAL IMPACTION MGMT AND ENEMA ADMN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9097","description":"HOME VISIT FOR WOUND CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99512","description":"HOME VISIT HEMODIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99510","description":"HOME VISIT INDIV FAM/MARRIAGE COUNSELING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99506","description":"HOME VISIT INTRAMUSCULAR INJECTIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99504","description":"HOME VISIT MECHANICAL VENTILATION CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEW PATIENT HI SEVERITY 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEWBORN CARE AND ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99502","description":"HOME VISIT NEWBORN CARE AND ASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NEWBORN CARE AND ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99502","description":"HOME VISIT NEWBORN CARE AND ASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9098","description":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 POSTNATAL ASSMT AND F-UP CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99501","description":"HOME VISIT POSTNATAL ASSMT AND F-UP CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 POSTNATAL ASSMT AND F-UP CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99501","description":"HOME VISIT POSTNATAL ASSMT AND F-UP CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99500","description":"HOME VISIT PRENATAL MONITORING AND ASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99505","description":"HOME VISIT STOMA CARE AND MAINT CLST AND CSTOST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99350","description":"HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99344","description":"HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.04,"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":null,"billing_code":"S5131","description":"HOMEMAKER SERVICE NOS; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9126","description":"HOSPICE CARE IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5006","description":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5008","description":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5007","description":"HOSPICE CARE PROV LONG TERM CARE FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5003","description":"HOSPICE CARE PROV NURSING LTC FACL/NON-SKILL NF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5005","description":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5004","description":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2043","description":"HOSPICE CONTINUOUS HOME CARE; PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0337","description":"HOSPICE EVALUATION AND CNSL SERVICES PREELECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"T2045","description":"HOSPICE GENERAL INPATIENT CARE; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5010","description":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2044","description":"HOSPICE INPATIENT RESPITE CARE; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2046","description":"HOSPICE LONG TERM CARE RM AND BD ONLY PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2042","description":"HOSPICE ROUTINE HOME CARE; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9692","description":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9740","description":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9709","description":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9720","description":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9723","description":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9687","description":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9694","description":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5002","description":"HOSPICE/HOME HEALTH CARE IN ASSISTED LIVING FACL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5001","description":"HOSPICE/HOME HEALTH CARE PROV PT HOME/RESIDENCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q5009","description":"HOSPICE/HOME HEALTH CARE PROVIDED IN PLACE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISCHARGE DAY MANAGEMENT GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL DISCHARGE DAY MANAGEMENT GT 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT GT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT GT 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99026","description":"HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99027","description":"HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0378","description":"HOSPITAL OBSERVATION SERVICE PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9420","description":"HOSPITAL OR AMBULATORY SURGICAL CENTER CALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0463","description":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS AND MGMT PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0310","description":"HOSPITALIST SERVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9767","description":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9410","description":"HOUSE EXTENDED CARE FACILITY CALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"D9410","description":"HOUSE/EXTENDED CARE FACILITY CALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0277","description":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0277","description":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRT FAILURE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001F","description":"HRT FAILURE ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.57,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCD NORMALLY HYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2030F","description":"HYDRATION STATUS DOCD NORMALLY HYDRATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION STATUS DOCUMENTED DEHYDRATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2031F","description":"HYDRATION STATUS DOCUMENTED DEHYDRATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYUREA ORAL 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0176","description":"HYDROXYUREA ORAL 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTENSION PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4050F","description":"HYPERTENSION PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNAL GENERATED DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":663.7761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":663.7761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77600","description":"HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":663.7761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":663.7761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":663.7761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":663.7761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77600","description":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77600","description":"HYPERTHERMIA EXTERNALLY GENERATED SUPERFICIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":297.8692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":342.5262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE 5 OR GT APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE 5 OR GT APPLICATORS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77615","description":"HYPERTHERMIA INTERSTIAL PROBE GT 5 APPLICATORS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.0148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.0525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77610","description":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.9747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.9747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77610","description":"HYPERTHERMIA INTERSTITIAL PROBE 5 OR LT APPLICATORS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.9747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.9747,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.6317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.2887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"J7131","description":"HYPERTONIC SALINE SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90880","description":"HYPNOTHERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hearing screening","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5008","description":"Hearing screening","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"E1590","description":"Hemodialysis machine","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7521","description":"I AND D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7521","description":"I AND D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABSCESS INTRAORAL SOFT TISSUE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7511","description":"I AND D ABSCESS INTRAORAL SOFT TISSUE COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABSCESS INTRAORAL SOFT TISSUE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7511","description":"I AND D ABSCESS INTRAORAL SOFT TISSUE COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"87593","description":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81441","description":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81441","description":"IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90653","description":"IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADJUVANT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90667","description":"IIV VACCINE PANDEMIC ADJUVANT FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90668","description":"IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90657","description":"IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRSRV FREE 0.25 ML DOS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90685","description":"IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STOMA W/PLMT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44384","description":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44384","description":"ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0278","description":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0278","description":"ILIAC and /FEM ART ANGIO NONSEL AT TIME CARD CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90473","description":"IM ADM INTRANSL/ORAL 1 VACCINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM INTRANSL/ORAL EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90474","description":"IM ADM INTRANSL/ORAL EA VACCINE","negotiated_rates":[{"provider_references":[216572],"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 POST SUR/EA FTG APP RGD DRSG and 1 C CHG PAR HND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6037","description":"IM POST SUR/EA FTG APP RGD DRSG and 1 C CHG PAR HND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 POST SUR/EA FTG APP RGD DRSG and 1 C CHG PAR HND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6037","description":"IM POST SUR/EA FTG APP RGD DRSG and 1 C CHG PAR HND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9319","description":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9318","description":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3331F","description":"IMAGING STUDY NOT ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING STUDY ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3330F","description":"IMAGING STUDY ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMATINIB 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0088","description":"IMATINIB 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE 1ST/ONLY COMPONENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACCINE SINGLE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90480","description":"IMM ADMN SARSCOV2 VACCINE SINGLE DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5140","description":"IMMEDIATE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5140","description":"IMMEDIATE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5130","description":"IMMEDIATE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5130","description":"IMMEDIATE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90281","description":"IMMUNE GLOBULIN IG HUMAN IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90283","description":"IMMUNE GLOBULIN IGIV HUMAN IV USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOHISTOCHEMICAL STAINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0478","description":"IMMUNOHISTOCHEMICAL STAINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7599","description":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9426","description":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9427","description":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6115","description":"IMPL ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXD DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6117","description":"IMPL ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6114","description":"IMPL ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXED DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6116","description":"IMPL ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6110","description":"IMPL ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE EDENTULOUS ARCH-MND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6111","description":"IMPL ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6113","description":"IMPL ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6112","description":"IMPL ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2230","description":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAINT PROC REMV REINSRT CLEAN PROSTH AND ABUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6080","description":"IMPL MAINT PROC REMV REINSRT CLEAN PROSTH AND ABUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MNT FULL AR FXD HYB PROS IS REM and REINSUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6080","description":"IMPL MNT FULL AR FXD HYB PROS IS REM and REINSUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MNT FULL AR FXD HYB PROS IS REM and REINSUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6080","description":"IMPL MNT FULL AR FXD HYB PROS IS REM and REINSUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MNT PROC WN FL ARCH F HYB PROS REM and REINSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6080","description":"IMPL MNT PROC WN FL ARCH F HYB PROS REM and REINSRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6115","description":"IMPL/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6115","description":"IMPL/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXD DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6117","description":"IMPL/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXD DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6117","description":"IMPL/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6114","description":"IMPL/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6114","description":"IMPL/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXED DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6116","description":"IMPL/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP FIXED DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6116","description":"IMPL/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6110","description":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE EDENTULOUS ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6110","description":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE EDENTULOUS ARCH-MND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6111","description":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE EDENTULOUS ARCH-MND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6111","description":"IMPL/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6113","description":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE PART EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6113","description":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6112","description":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPP REMV DENTURE PART EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6112","description":"IMPL/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4470F","description":"IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT REMOVAL BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6100","description":"IMPLANT REMOVAL BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUSED HI NBL ALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6066","description":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUSED HI NBL ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6066","description":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RET FPD - PORCELN FUSED HI NBL ALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6076","description":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RET FPD - PORCELN FUSED HI NBL ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6076","description":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RET METAL FPD - HIGH NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6077","description":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RET METAL FPD - HIGH NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6077","description":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - HIGH NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6067","description":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - HIGH NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6067","description":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6065","description":"IMPLANT SUPPORTED PORCELAIN CERAMIC CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN/CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6065","description":"IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN/CERAMIC CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6065","description":"IMPLANT SUPPORTED PORCELAIN/CERAMIC CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINER FOR CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6075","description":"IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RETAINER FOR CERAMIC FPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6075","description":"IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MANDIBLE AUGMENTATION PURPOSES BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7996","description":"IMPLANT-MANDIBLE AUGMENTATION PURPOSES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MANDIBLE AUGMENTATION PURPOSES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7996","description":"IMPLANT-MANDIBLE AUGMENTATION PURPOSES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4650","description":"IMPLANTABLE RADIATION DOSIMETER EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1072.2357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1072.2357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65785","description":"IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1072.2357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1072.2357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.5775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.5775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33927","description":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1574.4049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1574.4049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33927","description":"IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1574.4049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1574.4049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69710","description":"IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69710","description":"IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21077","description":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1028.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1028.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1162.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1162.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1475.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1475.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21077","description":"IMPRESSION AND PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1028.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1028.4438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1162.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1162.4148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1475.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1475.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21083","description":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":934.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":934.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21083","description":"IMPRESSION AND PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":178.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.8144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":934.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":934.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPJ PALATAL AUGMENTATION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION AND PREPJ PALATAL AUGMENTATION PROSTHES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":221.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":221.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":689.9156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":689.9156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":779.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":779.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":979.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":979.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":221.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":221.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":689.9156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":689.9156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":779.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":779.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":979.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":979.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21082","description":"IMPRESSION and PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":221.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":221.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":689.9156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":689.9156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":779.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":779.2296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":979.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":979.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":579.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":579.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":623.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":623.9823,"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":null,"billing_code":"S0395","description":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":579.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":579.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":623.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":623.9823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.2906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":579.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":579.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":623.9823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":623.9823,"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":null,"billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VITRO FERTILIZATION;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S4011","description":"IN VITRO FERTILIZATION;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9552","description":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9552","description":"INCIDENTAL THYROID NODULE LT 1.0 CM NOTED REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE ABSCESS-EXTRAORAL SOFT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7520","description":"INCISION AND DRAINAGE ABSCESS-EXTRAORAL SOFT TISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND DRAINAGE ABSCESS-EXTRAORAL SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7520","description":"INCISION AND DRAINAGE ABSCESS-EXTRAORAL SOFT TISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND DRAINAGE ABSCESS-INTRAORAL SOFT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7510","description":"INCISION AND DRAINAGE ABSCESS-INTRAORAL SOFT TISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND DRAINAGE ABSCESS-INTRAORAL SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7510","description":"INCISION AND DRAINAGE ABSCESS-INTRAORAL SOFT TISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10180","description":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10180","description":"INCISION AND DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS COMPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10120","description":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10120","description":"INCISION AND REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10061","description":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10061","description":"INCISION and DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10060","description":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10060","description":"INCISION and DRAINAGE ABSCESS SIMPLE/SINGLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27603","description":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27603","description":"INCISION and DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27604","description":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27604","description":"INCISION and DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10121","description":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10121","description":"INCISION and REMOVAL FOREIGN BODY SUBQ TISS COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.8637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.8637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":198.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":198.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.8637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.8637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":198.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":198.2444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11107","description":"INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INCOMPLETE ENDO TX; INOP UNRESTORABLE FX TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3332","description":"INCOMPLETE ENDO TX; INOP UNRESTORABLE FX TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3332","description":"INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3332","description":"INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4536","description":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4520","description":"INCONTINENCE GARMENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4539","description":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T4541","description":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4017","description":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0483","description":"INDIRECT IMMUNOFLUORESCENCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9571","description":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9570","description":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OXYQUINOLINE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9547","description":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OXYQUINOLINE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9547","description":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PENTETATE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9548","description":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PENTETATE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9548","description":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9572","description":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4642","description":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9513","description":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9512","description":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2260","description":"INDUCED ABORTION 17 TO 24 WEEKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2265","description":"INDUCED ABORTION 25 TO 28 WEEKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2266","description":"INDUCED ABORTION 29 TO 31 WEEKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2267","description":"INDUCED ABORTION 32 WEEKS OR GREATER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9447","description":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8301","description":"INFECTION CONTROL SUPPLIES NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4037F","description":"INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4035F","description":"INFLUENZA IMMUNIZATION RECOMMENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1030F","description":"INFLUENZA IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM AFLURIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC SPLIT VIRUS 3 YRS and GT IM AFLURIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM AFLURIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC SPLIT VIRUS 3 YRS and GT IM FLULAVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2036","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLULAVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC SPLIT VIRUS 3 YRS and GT IM FLULAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2036","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLULAVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC SPLIT VIRUS 3 YRS and GT IM FLUVIRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2037","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLUVIRIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VACC SPLIT VIRUS 3 YRS and GT IM FLUVIRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2037","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLUVIRIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90666","description":"INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VIRUS VACCINE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2039","description":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0081","description":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALATION OF NITROUS OXIDE ANALGESIA ANXIOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9230","description":"INHALATION OF NITROUS OXIDE ANALGESIA ANXIOLYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALATION OF NITROUS OXIDE/ANALGESIA ANXIOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9230","description":"INHALATION OF NITROUS OXIDE/ANALGESIA ANXIOLYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4025F","description":"INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHALED CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4140F","description":"INHALED CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0402","description":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0402","description":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1119F","description":"INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL EXAMINATION INVOLVED JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2004F","description":"INITIAL EXAMINATION INVOLVED JOINTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.9408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.9408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.9408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.9408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99222","description":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99223","description":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.71,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.4603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.4603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":459.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":459.6398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":459.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":459.6398,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0245","description":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0245","description":"INITIAL PHYS E and M DIABETIC NEUROPATHY W/LOPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"0444T","description":"INITIAL PLMT DRUG ELUTING OCULAR INSERT UNI/BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0500F","description":"INITIAL PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT LT 1YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT LT 1YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525F","description":"INITIAL VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99184","description":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99184","description":"INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0892","description":"INJ ARGATROBAN NOT THER EQUIVALENT TO J0884 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE AND PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0688","description":"INJ CEFAZOLIN SODIUM NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0703","description":"INJ CFPM HCI B BRAUN NOT THER EQV MXIPIME 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0701","description":"INJ CFPM HCI BAXTER NOT THER EQV MAXIPIME 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2009","description":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1573","description":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1599","description":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 E.G. LIQUID NOS 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1599","description":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[216572],"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":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2272","description":"INJ MOR SULFATE NOT EQUIV TO J2270 UP TO 10 MG","negotiated_rates":[{"provider_references":[216572],"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":8.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.13,"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":null,"billing_code":"Q9968","description":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.95,"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":null,"billing_code":"S0040","description":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS 3.1 GMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0899","description":"INJECT ARGATROBAN NOT THERAPEUT EQUIV J0884 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4737","description":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64454","description":"INJECTION AA and /STRD GENICULAR NRV BRANCHES W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64451","description":"INJECTION AA and /STRD NERVES NRVTG SI JOINT W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLIN UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLIN UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.3,"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":null,"billing_code":"J1320","description":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0136","description":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0136","description":"INJECTION APAP B BRAUN NOT EQUIV TO J0131 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAFFEINE CITRATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0706","description":"INJECTION CAFFEINE CITRATE 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITRIOL 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0636","description":"INJECTION CALCITRIOL 0.1 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITRIOL 0.1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0636","description":"INJECTION CALCITRIOL 0.1 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 IMMUNE FAB2 UP TO 120 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0716","description":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0689","description":"INJECTION CEZ NOT THER EQUIVALENT J0690 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0720","description":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0023","description":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0023","description":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J1180","description":"INJECTION DYPHYLLINE UP TO 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1290","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN BETA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0887","description":"INJECTION EPOETIN BETA 1 MICROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETELCALCETIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0606","description":"INJECTION ETELCALCETIDE 0.1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0126","description":"INJECTION FOLLITROPIN ALFA 75 IU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0128","description":"INJECTION FOLLITROPIN BETA 75 IU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0078","description":"INJECTION FOSPHENYTOIN SODIUM 750 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"A9583","description":"INJECTION GADOFOSVESET TRISODIUM 1 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0132","description":"INJECTION GANIRELIX ACETATE 250 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.62,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEPARIN SODIUM PER 10 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1642","description":"INJECTION HEPARIN SODIUM PER 10 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J1675","description":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0092","description":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 ALFA-2B RECOMBINANT 1 M U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9214","description":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3027","description":"INJECTION INTERFERON BETA-1A 1 MCG IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3028","description":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3028","description":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":636.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.82,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":636.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8628.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8628.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8628.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8628.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1954","description":"INJECTION LA FOR DEPOT SUSPENSION 7.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J2003","description":"INJECTION LIDOCAINE HCL 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":"J1738","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MENOTROPINS 75 IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0122","description":"INJECTION MENOTROPINS 75 IU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MENOTROPINS 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0122","description":"INJECTION MENOTROPINS 75 IU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLDOPATE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0210","description":"INJECTION METHYLDOPATE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.03,"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":null,"billing_code":"J2265","description":"INJECTION MINOCYCLINE HCL 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0093","description":"INJECTION MORPHINE SULFATE 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFLOXACIN 400 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0034","description":"INJECTION OFLOXACIN 400 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":"J9285","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXACILLIN SODIUM UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2700","description":"INJECTION OXACILLIN SODIUM UP TO 250 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"S0148","description":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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 UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.21,"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":null,"billing_code":"S0081","description":"INJECTION PIPERACILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.21,"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":null,"billing_code":"G0259","description":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.64,"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":null,"billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62292","description":"INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCULPTRA 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2028","description":"INJECTION SCULPTRA 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCULPTRA 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2028","description":"INJECTION SCULPTRA 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT MUSCLES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3303","description":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, LECANEMAB-IRMB, 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0174","description":"INJECTION, LECANEMAB-IRMB, 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2510","description":"INLAY - METALLIC - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2510","description":"INLAY - METALLIC - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - THREE OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2530","description":"INLAY - METALLIC - THREE OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - THREE OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2530","description":"INLAY - METALLIC - THREE OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2520","description":"INLAY - METALLIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - METALLIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2520","description":"INLAY - METALLIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN CERAMIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2610","description":"INLAY - PORCELAIN CERAMIC - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN CERAMIC - THREE MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2630","description":"INLAY - PORCELAIN CERAMIC - THREE MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2620","description":"INLAY - PORCELAIN CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2610","description":"INLAY - PORCELAIN/CERAMIC - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2610","description":"INLAY - PORCELAIN/CERAMIC - ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2630","description":"INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2630","description":"INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2620","description":"INLAY - PORCELAIN/CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY - PORCELAIN/CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2620","description":"INLAY - PORCELAIN/CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2981","description":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2981","description":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2652","description":"INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2652","description":"INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2650","description":"INLAY RESIN BASED COMPOSITE ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE ONE SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2650","description":"INLAY RESIN BASED COMPOSITE ONE SURFACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2651","description":"INLAY RESIN BASED COMPOSITE TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INLAY RESIN BASED COMPOSITE TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2651","description":"INLAY RESIN BASED COMPOSITE TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0448","description":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.5917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.5917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.9724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33270","description":"INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.5917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.5917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.9724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.9724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSEMINATION OOCYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89268","description":"INSEMINATION OOCYTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":732.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":732.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE LT 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.1525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":732.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":732.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":819.4677,"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":null,"billing_code":"0744T","description":"INSERTION BIOPROSTHETIC VALVE OPEN FEMORAL VEIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0516","description":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0516","description":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36568","description":"INSERTION PICC W/O IMG GDN LT 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36568","description":"INSERTION PICC W/O IMG GDN LT 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.72,"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":null,"billing_code":"0450T","description":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MULTI-COMPONENT INFLATABLE PENILE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54405","description":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54405","description":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.2894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE LT 5 Y","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33271","description":"INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.9347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54400","description":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":317.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":317.2518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54400","description":"INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":317.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":317.2518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54401","description":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54401","description":"INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.8045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.4615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1010.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1010.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":817.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":817.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":902.4689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":902.4689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1010.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1010.9551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":817.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":817.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":902.4689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":902.4689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22868","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22868","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22867","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":537.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":537.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":603.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":603.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22867","description":"INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":537.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":537.2167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":603.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":603.5943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22870","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22870","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22869","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22869","description":"INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.1099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":885.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":885.8453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":885.8453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":885.8453,"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":null,"billing_code":"0408T","description":"INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0411T","description":"INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0410T","description":"INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0409T","description":"INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4981","description":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4240F","description":"INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN GT 12 WK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL and RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL and RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL and RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99174","description":"INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL and RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5565","description":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5566","description":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5570","description":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5571","description":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5560","description":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5561","description":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9145","description":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8490","description":"INSULIN SYRINGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4104","description":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4105","description":"INTEGRA DRT/INTEGRA OMNIGR DRML RGN MTX P SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1511.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1568.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1568.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4114","description":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1511.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1568.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1568.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.14,"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":null,"billing_code":"S0590","description":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1025","description":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1026","description":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1026","description":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR Q HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARD REHAB; W/WO CONT ECG MON W/EXER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0422","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0422","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/EXER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0423","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0423","description":"INTENSIVE CARD REHAB; W/WO CONT ECG MON W/O EXER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"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":null,"billing_code":"S9480","description":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENTIONAL REIMPLANTATION W NECESSARY SPLINTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3470","description":"INTENTIONAL REIMPLANTATION W NECESSARY SPLINTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3470","description":"INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3470","description":"INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"D0391","description":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PART HOS 45 TO 50 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PART HOS 45 TO 50 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8130","description":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8131","description":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABUTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6051","description":"INTERIM ABUTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARIES ARREST MEDICAMENT APP - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1354","description":"INTERIM CARIES ARREST MEDICAMENT APP - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COMPLETE DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5811","description":"INTERIM COMPLETE DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COMPLETE DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5811","description":"INTERIM COMPLETE DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COMPLETE DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5810","description":"INTERIM COMPLETE DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COMPLETE DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5810","description":"INTERIM COMPLETE DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CR-FUR TX/COMPL DX NES PRI FINAL IMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2799","description":"INTERIM CR-FUR TX/COMPL DX NES PRI FINAL IMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CR-FUR TX/COMPL DX NES PRI FINAL IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2799","description":"INTERIM CR-FUR TX/COMPL DX NES PRI FINAL IMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4005","description":"INTERIM LABOR FACILITY GLOBAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5821","description":"INTERIM PARTIAL DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5821","description":"INTERIM PARTIAL DENTURE MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5820","description":"INTERIM PARTIAL DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5820","description":"INTERIM PARTIAL DENTURE MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3272F","description":"INTERMED RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3551F","description":"INTERMEDIATE RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMITTENT ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1039F","description":"INTERMITTENT ASTHMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9974","description":"INTERNAL BLEACHING - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ROOT REPAIR OF PERFORATION DEFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3333","description":"INTERNAL ROOT REPAIR OF PERFORATION DEFECTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ROOT REPAIR OF PERFORATION DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3333","description":"INTERNAL ROOT REPAIR OF PERFORATION DEFECTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"22841","description":"INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESULTS PSYCHIATRIC EXAM FAMILY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90887","description":"INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90887","description":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"0418T","description":"INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M0100","description":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRESS REDUCED GT EQUAL 15 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3284F","description":"INTRAOCULAR PRESS REDUCED GT EQUAL 15 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0351T","description":"INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0210","description":"INTRAORAL - COMP SERIES OF RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0240","description":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0230","description":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0220","description":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLCMT FIX DEVICE NOT CONJUNCTION W FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7998","description":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLCMT FIX DEVICE NOT CONJUNCTION W/FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7998","description":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W/FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLCMT FIX DEVICE NOT CONJUNCTION W/FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7998","description":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W/FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-COMPLETE SERIES OF RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0210","description":"INTRAORAL-COMPLETE SERIES OF RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94610","description":"INTRAPULMONARY SURFACTANT ADMN PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37253","description":"INTRAVASCULAR US NONCORONARY RS AND I ADDL VESSEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":578.6706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":578.6706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37252","description":"INTRAVASCULAR US NONCORONARY RS AND I INTIAL VESSEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":578.6706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":578.6706,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRM PONTIC-FUR TX/CMPL DX NEC B4 FINAL IMPRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6253","description":"INTRM PONTIC-FUR TX/CMPL DX NEC B4 FINAL IMPRESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRM PONTIC-FUR TX/CMPL DX NEC B4 FINAL IMPRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6253","description":"INTRM PONTIC-FUR TX/CMPL DX NEC B4 FINAL IMPRESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRM RET CRWN-FUR TX/CMPL DX NEC B4 FINL IMPRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6793","description":"INTRM RET CRWN-FUR TX/CMPL DX NEC B4 FINL IMPRSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRM RET CRWN-FUR TX/CMPL DX NEC B4 FINL IMPRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6793","description":"INTRM RET CRWN-FUR TX/CMPL DX NEC B4 FINL IMPRSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9306","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVL 3 OR GT YRS PTS LAST COLONOSCOPY DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0529F","description":"INTRVL 3 OR GT YRS PTS LAST COLONOSCOPY DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9285","description":"INVERSION/EVERSION CORRECTION DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3284F","description":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3284F","description":"IO PRESSURE REDUCED GT or equal to 15 PCT PRE-INTERVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9582","description":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9584","description":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 100 UCI TO 999","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9516","description":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 100 UCI TO 999","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9516","description":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9509","description":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9532","description":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9527","description":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IOTHALAMATE DX UP TO 10 UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9554","description":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IOTHALAMATE DX UP TO 10 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9554","description":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IODINATD SERUM ALBUMIN DX PER 5 UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9524","description":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IODINATD SERUM ALBUMIN DX PER 5 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9524","description":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SODIM IODIDE DX TO 100 MICROCURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9531","description":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SODIM IODIDE DX TO 100 MICROCURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9531","description":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9517","description":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9528","description":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9529","description":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOLUTION TX PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9530","description":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOLUTION TX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9530","description":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3285F","description":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3285F","description":"IOP REDUCED LT 15 PCT PRE-INTERVENTION LEVEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9608","description":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9606","description":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99254","description":"IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPE PHONE/INET/EHR DX MI TX GT 5 MIN MED CONS TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0550","description":"IPE PHONE/INET/EHR DX MI TX GT 5 MIN MED CONS TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86945","description":"IRRADIATION BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1066F","description":"ISCHEMIC STROKE SX ONSET GT or equal to 3 HRS PRIOR ARRIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET GT or equal to 3 HRS PRIOR ARR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1066F","description":"ISCHEMIC STROKE SYMP ONSET GT or equal to 3 HRS PRIOR ARR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1065F","description":"ISCHEMIC STROKE SYMP ONSET LT 3 HRS PRIOR ARRIVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2102","description":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7648","description":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7650","description":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7649","description":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7647","description":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7657","description":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7658","description":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7659","description":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7660","description":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M0300","description":"IV CHELATION THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV T-PA INITIATED W/IN 3 HRS TIME LAST KNWN WELL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV T-PA NOT INIT IN 3 HRS LAST WELL RSN DOC CLIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TCZ HP 2 and GT COVID-19 INC INF and PA MON 2ND D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0250","description":"IV TCZ HP 2 and GT COVID-19 INC INF and PA MON 2ND D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TCZ HP 2 and GT COVID-19 INC INF and PA MON 2ND D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0250","description":"IV TCZ HP 2 and GT COVID-19 INC INF and PA MON 2ND D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TCZ HP PT 2 and GT COVID-19 INC INF and PA MON FD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0249","description":"IV TCZ HP PT 2 and GT COVID-19 INC INF and PA MON FD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TCZ HP PT 2 and GT COVID-19 INC INF and PA MON FD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0249","description":"IV TCZ HP PT 2 and GT COVID-19 INC INF and PA MON FD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TPA NOT INIT W/I 3 HRS TIME KNOWN RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8600","description":"IV TT INIT W/N 4.5 HRS LT or equal to 270 MIN OF TIME LK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8601","description":"IV TT NOT INIT 4.5 HRS LKW REASON DOC BY CLIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV TT NOT INIT WI 4.5 HOURS LT or equal to 270 MIN LKW NO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8602","description":"IV TT NOT INIT WI 4.5 HOURS LT or equal to 270 MIN LKW NO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S4021","description":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4020","description":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90738","description":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7858","description":"JOINT RECONSTRUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7858","description":"JOINT RECONSTRUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERAMATRIX OR KERASORB PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4165","description":"KERAMATRIX OR KERASORB PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERAMATRIX OR KERASORB PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4165","description":"KERAMATRIX OR KERASORB PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"65760","description":"KERATOMILEUSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65765","description":"KERATOPHAKIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65765","description":"KERATOPHAKIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":627.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":627.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":806.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":806.8188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65770","description":"KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":538.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":627.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":627.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":806.8188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":806.8188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":66.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":66.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1821","description":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1821","description":"KNEE ORTHOSIS ELAS WITH CONDYLAR PADS AND JOINTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V GT or equal to 1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3084F","description":"KT/V GT or equal to 1.7","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V GT or equal to 1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3084F","description":"KT/V GT or equal to 1.7","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3082F","description":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3082F","description":"KT/V LT 1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2 and LT 1.7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2 and LT 1.7","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KT/V EQUAL OR GT 1.2 and LT 1.7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3083F","description":"KT/V EQUAL OR GT 1.2 and LT 1.7","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"D0486","description":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP AND WRT RPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER - DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2960","description":"LABIAL VENEER - DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER - DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2960","description":"LABIAL VENEER - DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER - LABORATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2961","description":"LABIAL VENEER - LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER - LABORATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2962","description":"LABIAL VENEER - LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2962","description":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2962","description":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER RESIN LAMINATE - CHAIRSIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2960","description":"LABIAL VENEER RESIN LAMINATE - CHAIRSIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER RESIN LAMINATE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2961","description":"LABIAL VENEER RESIN LAMINATE - INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABIAL VENEER RESIN LAMINATE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2961","description":"LABIAL VENEER RESIN LAMINATE - INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J3570","description":"LAETRILE AMYGDALIN VITAMIN B17","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90664","description":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90664","description":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5363","description":"LANGUAGE SCREENING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0342","description":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0342","description":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.9694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1036.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1036.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1036.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1036.0892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.9127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.671,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0343","description":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":631.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":631.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":697.5611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":697.5611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":765.5987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":765.5987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0343","description":"LAPAROT ISLET CELL TPLNT W/PORTL VEIN CATH and INFUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":631.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":631.1835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":697.5611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":697.5611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":765.5987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":765.5987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43284","description":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43284","description":"LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.9171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.9171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1219.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1219.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":903.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":903.7783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58575","description":"LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.9171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.9171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1219.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1219.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":903.7783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":903.7783,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC and OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC and OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":588.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":588.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":677.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":677.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":745.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":745.9824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/BI TOT PEL LMPHADEC and OMNTC LYMPH BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38573","description":"LAPS W/BI TOT PEL LMPHADEC and OMNTC LYMPH BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":588.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":588.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":677.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":677.9447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":745.9824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":745.9824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER IN SITU KERATOMILEUSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0800","description":"LASER IN SITU KERATOMILEUSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2080","description":"LASER-ASSISTED UVULOPALATOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5175","description":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2120","description":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7946","description":"LEFORT I MAXILLA TOTAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SEGMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7947","description":"LEFORT I MAXILLA SEGMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SEGMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7947","description":"LEFORT I MAXILLA SEGMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7949","description":"LEFORT II LEFORT III - W BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7948","description":"LEFORT II LEFORT III - W O BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7949","description":"LEFORT II/LEFORT III - W/BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7948","description":"LEFORT II/LEFORT III - W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION GT EQUAL 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION GT EQUAL 40 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION GT or equal to 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3022F","description":"LEFT VENTRICULAR EJECTION FRACTION GT or equal to 40 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3021F","description":"LEFT VENTRICULAR EJECTION FRACTION LT 40 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3020F","description":"LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9949","description":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9949","description":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0177","description":"LEVAMISOLE HYDROCHLORIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL ACTIVITY ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1003F","description":"LEVEL ACTIVITY ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.34,"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":null,"billing_code":"J7306","description":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL AND SPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0341","description":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND/3RD QTR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0342","description":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR/STAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0340","description":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0140","description":"LIMITED ORAL EVALUATION - PROBLEM FOCUSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8040","description":"LIMITED ORTHODONTIC TREATMENT ADULT DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8010","description":"LIMITED ORTHODONTIC TREATMENT PRIMARY DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3011F","description":"LIPID PANEL RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4381","description":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4381","description":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9210","description":"LOCAL ANES-NOT CONJUNCTION W OP SURGICAL PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9210","description":"LOCAL ANES-NOT CONJUNCTION W/OP/SURGICAL PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9215","description":"LOCAL ANESTHESIA CONJUCTION OPERATIVE SURG PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9215","description":"LOCAL ANESTHESIA CONJUCTION OPERATIVE/SURG PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9976","description":"LODGING PER DIEM NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9994","description":"LODGNG COSTS CLINICAL TRIAL PRTCP AND ONE CAREGIVR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0178","description":"LOMUSTINE ORAL 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9699","description":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9695","description":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG-TERM OXYGEN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4030F","description":"LONG-TERM OXYGEN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOUDNESS BALANCE BINAURAL/MONAURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92562","description":"LOUDNESS BALANCE BINAURAL/MONAURAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97610","description":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":255.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":255.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97610","description":"LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":255.3165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":255.3165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.43,"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":null,"billing_code":"Q9951","description":"LOW OSM CONTRST MATL 400 OR GT MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR RETINOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3072F","description":"LOW RISK FOR RETINOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK FOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3550F","description":"LOW RISK FOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9706","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW RISK OF RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3271F","description":"LOW RISK OF RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8405","description":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8404","description":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1008","description":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1008","description":"LT 50 PCT OF TOT NUMBER OF A PT O/P RA ENC ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8030","description":"LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADOLESCENT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8030","description":"LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8020","description":"LTD ORTHODONTIC TREATMENT TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VIPIVOTIDE TETRAXETAN THER 1 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9607","description":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VIPIVOTIDE TETRAXETAN THER 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9607","description":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8395","description":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8395","description":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT or equal to 40 PCT OR DOCUMENTATION OF MOD/SEVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8694","description":"LVEF LT or equal to 40 PCT OR DOCUMENTATION OF MOD/SEVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF ASSESSMENT PLANNED POST DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3019F","description":"LVEF ASSESSMENT PLANNED POST DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GREATER THAN 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3056F","description":"LVEF GREATER THAN 35 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LESS THAN OR EQUAL TO 35 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3055F","description":"LVEF LESS THAN OR EQUAL TO 35 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8923","description":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8934","description":"LVEF LT 40 PCT /DOC MOD/SEV DPRSD LT VENT SYSTOLIC FCN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8037","description":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8042","description":"MAGNETIC RESONANCE IMAGING LOW-FIELD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8035","description":"MAGNETIC SOURCE IMAGING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5993","description":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3088F","description":"MAJOR DEPRESSIVE DISORDER MILD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER MODERATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3089F","description":"MAJOR DEPRESSIVE DISORDER MODERATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DEPRESSIVE DISORDER REMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3092F","description":"MAJOR DEPRESSIVE DISORDER REMISSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3091F","description":"MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"D7760","description":"MALAR AND OR ZYGOMATIC ARCH CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7660","description":"MALAR AND OR ZYGOMATIC ARCH-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7650","description":"MALAR AND OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7750","description":"MALAR AND OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7760","description":"MALAR AND/OR ZYGOMATIC ARCH CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7760","description":"MALAR AND/OR ZYGOMATIC ARCH CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7660","description":"MALAR AND/OR ZYGOMATIC ARCH-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7650","description":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7750","description":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7750","description":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3342F","description":"MAMMO ASSESSMENT CAT BENIGN DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3350F","description":"MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3345F","description":"MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7020F","description":"MAMMO ASSESSMENT CAT IN DATABASE FOR RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3340F","description":"MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3341F","description":"MAMMO ASSESSMENT CAT NEGATIVE DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3343F","description":"MAMMO ASSESSMENT CAT PROB BENIGN DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3344F","description":"MAMMO ASSESSMENT CAT SUSPICIOUS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S4042","description":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7640","description":"MANDIBLE-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7740","description":"MANDIBLE-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7740","description":"MANDIBLE-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7630","description":"MANDIBLE-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7730","description":"MANDIBLE-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7730","description":"MANDIBLE-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5935","description":"MANDIBULAR GUIDANCE PROSTHESIS W/O GUIDE FLANGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5934","description":"MANDIBULAR GUIDANCE PROSTHESIS WITH GUIDE FLANGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5226","description":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5226","description":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5212","description":"MANDIBULAR PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5226","description":"MANDIBULAR PARTIAL DENTURE FLEXIBLE BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRTL DENTURE - CAST METAL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5214","description":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRTL DENTURE - CAST METAL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5214","description":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESECTION PROSTHESIS W GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5934","description":"MANDIBULAR RESECTION PROSTHESIS W GUIDE FLANGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESECTION PROSTHESIS W O GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5935","description":"MANDIBULAR RESECTION PROSTHESIS W O GUIDE FLANGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESECTION PROSTHESIS W/GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5934","description":"MANDIBULAR RESECTION PROSTHESIS W/GUIDE FLANGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESECTION PROSTHESIS W/O GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5935","description":"MANDIBULAR RESECTION PROSTHESIS W/O GUIDE FLANGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7830","description":"MANIPULATION UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"J7665","description":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20700","description":"MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20704","description":"MANUAL PREP AND INSJ I-ARTIC DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20702","description":"MANUAL PREP AND INSJ INTRAMEDULLARY DRUG DLVR DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4459","description":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4459","description":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":306.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":306.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":306.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":306.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY GYNECOMASTIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":306.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":306.7305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":328.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":328.0069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.2166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTERS TWO STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3904","description":"MASTERS TWO STEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.33,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM MICROMATRIX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4118","description":"MATRISTEM MICROMATRIX 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7620","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7720","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7720","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7610","description":"MAXILLA-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7710","description":"MAXILLA-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":"D7710","description":"MAXILLA-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DENTRUE FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5225","description":"MAXILLARY PARTIAL DENTRUE FLEXIBLE BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST METAL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5213","description":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST METAL FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5213","description":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5225","description":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FLEXIBLE BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5225","description":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5211","description":"MAXILLARY PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SINUSOTOMY REMOVAL TOOTH FRAGMENT FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7560","description":"MAXILLARY SINUSOTOMY REMOVAL TOOTH FRAGMENT FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7560","description":"MAXILLARY SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7560","description":"MAXILLARY SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0369","description":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0385","description":"MAXILLOFACIAL MRI IMAGE CAPTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0370","description":"MAXILLOFACIAL ULTRASOUND CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0386","description":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"96902","description":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3090F","description":"MDD SEVERE WITHOUT PSYCHOTIC FEATURES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S9996","description":"MEALS CLIN TRIAL PRTCP and ONE CAREGIVER/COMPANION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1010","description":"MEALS FOR IND REC ALCOHOL and /SUBSTANCE ABUSE SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9977","description":"MEALS PER DIEM NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90710","description":"MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90707","description":"MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[216572],"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":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[216572],"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":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94669","description":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94669","description":"MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"S0220","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0221","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9433","description":"MED FOOD NUTR CMPL ORAL 100 PCT NUTRITNL INTAKE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDUCED AB ORAL INGESTION MED W/SRVC and SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0199","description":"MED INDUCED AB ORAL INGESTION MED W/SRVC and SPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDUCED AB ORAL INGESTION MED W/SRVC and SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0199","description":"MED INDUCED AB ORAL INGESTION MED W/SRVC and SPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0271","description":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0271","description":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0270","description":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0270","description":"MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S5185","description":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INCLUDES MEDIASTINAL MASS BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39401","description":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39401","description":"MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.6584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.6584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39402","description":"MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.6584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.6584,"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":null,"billing_code":"T1040","description":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1041","description":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4325F","description":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4325F","description":"MEDICAL and SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9435","description":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0280","description":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0281","description":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9361","description":"MEDICAL INDICATION FOR DELIV C/S OR INDUCT LABOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL INDICATION FOR INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9361","description":"MEDICAL INDICATION FOR INDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[216572],"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":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[216572],"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":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[216572],"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":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[216572],"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":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9981","description":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADMINISTRATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9981","description":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9982","description":"MEDICAL RECORDS COPYING FEE PER PAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99075","description":"MEDICAL TESTIMONY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADMIN AND HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93463","description":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93463","description":"MEDICATION ADMIN AND HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1159F","description":"MEDICATION LIST DOCUMENTED IN MEDICAL RECORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99607","description":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99606","description":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99605","description":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0179","description":"MEGESTROL ACETATE ORAL 20 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA FOLLOW UP COMPLETED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0015F","description":"MELANOMA FOLLOW UP COMPLETED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELANOMA THAN AJCC STAGE 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3322F","description":"MELANOMA THAN AJCC STAGE 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.61,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90621","description":"MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLUBHOUSE SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2030","description":"MENTAL HEALTH CLUBHOUSE SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLUBHOUSE SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2030","description":"MENTAL HEALTH CLUBHOUSE SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLUBHOUSE SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2031","description":"MENTAL HEALTH CLUBHOUSE SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0035","description":"MENTAL HEALTH PARTIAL HOSP TX LT 24 HOURS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SERVICE PLAN DVLP NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0032","description":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SERVICE PLAN DVLP NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0032","description":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SERVICES NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0046","description":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SERVICES NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0046","description":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2014F","description":"MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MERCAPTOPURINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0108","description":"MERCAPTOPURINE ORAL 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MESIAL DISTAL WEDGE PROCEDURE SINGLE TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4274","description":"MESIAL DISTAL WEDGE PROCEDURE SINGLE TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MESIAL/DISTAL WEDGE PROCEDURE SINGLE TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4274","description":"MESIAL/DISTAL WEDGE PROCEDURE SINGLE TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MESIAL/DISTAL WEDGE PROCEDURE SINGLE TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4274","description":"MESIAL/DISTAL WEDGE PROCEDURE SINGLE TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7668","description":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7669","description":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7667","description":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7670","description":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHADONE ORAL 5MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0109","description":"METHADONE ORAL 5MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"38204","description":"MGMT RCP HEMATOP PROGENITOR CELL DONOR AND ACQUISJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROCAPILLARY TUBE SEALANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4652","description":"MICROCAPILLARY TUBE SEALANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88380","description":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88381","description":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S4028","description":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0190","description":"MIFEPRISTONE ORAL 200 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3353F","description":"MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S2208","description":"MIN INVAS DIR CAB SURG; 1 ART AND VEN GFT 1 VEN GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2207","description":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2209","description":"MIN INVASV DIR CAB SURG; 2 ART GFT AND 1 VENUS GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2205","description":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2206","description":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8946","description":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0139","description":"MINOXIDIL 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4175","description":"MIRODERM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.66,"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":null,"billing_code":"V2761","description":"MIRROR COAT TYPE SOLID GRADENT/ Equal to LENS MATL-LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0509","description":"MISC SPL/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0507","description":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0508","description":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1999","description":"MISC TX ITEMS AND SPL RETAIL PURCHASE NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9999","description":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0191","description":"MISOPROSTOL ORAL 200 MCG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9986","description":"MISSED APPOINTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPTHALMIC 0. 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7315","description":"MITOMYCIN OPTHALMIC 0. 2 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":813.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.21,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":813.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96202","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","negotiated_rates":[{"provider_references":[216572],"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":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96202","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","negotiated_rates":[{"provider_references":[216572],"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":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96203","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","negotiated_rates":[{"provider_references":[216572],"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":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96203","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILIZ ERUPTED MALPOSITIONED TOOTH AID ERUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7282","description":"MOBILIZ ERUPTED MALPOSITIONED TOOTH AID ERUPTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7282","description":"MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7282","description":"MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9434","description":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0500","description":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0500","description":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"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":null,"billing_code":"D5875","description":"MODIFICATION REMV PROSTH FOLLOW IMPLANT SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0452","description":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0452","description":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"S4040","description":"MON AND STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9279","description":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITORED ANESTHESIA CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9654","description":"MONITORED ANESTHESIA CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9353","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9352","description":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9351","description":"MORE 1 CT PARANASAL SINUS ORD/REC 90 DAY AFTR DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8955","description":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 130/80 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9788","description":"MOST RECENT BP LESS THAN/EQUAL TO 140/90 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8476","description":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8476","description":"MOST RECENT BP SYST LT 140 MM HG and DIAS LT 90 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES GT EQUAL 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES GT EQUAL 90 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3080F","description":"MOST RECENT DIASTOL BLOOD PRES GT or equal to 90 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8755","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE GT or equal to 90MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3078F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 80 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 90MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8754","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE LT 90MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3079F","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT GLY STS ASMT HBA1C / GMI LVL LT 7.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1371","description":"MOST RECENT GLY STS ASMT HBA1C / GMI LVL LT 7.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT GLY STS ASMT HBA1C / GMI LVL LT 7.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1371","description":"MOST RECENT GLY STS ASMT HBA1C / GMI LVL LT 7.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3046F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 9.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL LT 7.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3044F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL LT 7.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3051F","description":"MOST RECENT HG A1C GT EQUAL TO 7.0 PCT and LT 8.0 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3052F","description":"MOST RECENT HG A1C GT EQUAL TO 8.0 PCT and LT EQUAL TO 9","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GT EQUAL 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C GT EQUAL 130 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GT or equal to 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3050F","description":"MOST RECENT LDL-C GT or equal to 130 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GT or equal to 130 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3050F","description":"MOST RECENT LDL-C GT or equal to 130 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3048F","description":"MOST RECENT LDL-C LT 100 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C LT 100 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3048F","description":"MOST RECENT LDL-C LT 100 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C 100-129 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3049F","description":"MOST RECENT LDL-C 100-129 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT EQUAL 140 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3077F","description":"MOST RECENT SYSTOLIC BLOOD PRES GT or equal to 140 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3075F","description":"MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8753","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE GT or equal to 140MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 140MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8752","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 140MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3074F","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE LT 130 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9792","description":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9791","description":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS GT 130/80 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS GT 130/80 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECNT BP IS GT 140/90 MM HG/BR NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9790","description":"MOST RECNT BP IS GT 140/90 MM HG/BR NOT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76014","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAF 1ST 15 MIN","negotiated_rates":[{"provider_references":[216572],"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":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76015","description":"MR SAFETY IMPLANT and /FB ASSMT CLIN STAFF EA ADD 30","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3324F","description":"MRI CT SCAN ORDERED REVIEWED/REQUESTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCUS TRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8210","description":"MUCUS TRAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0580F","description":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0580F","description":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFETAL PREGNANCY REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59866","description":"MULTIFETAL PREGNANCY REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFETAL PREGNANCY REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59866","description":"MULTIFETAL PREGNANCY REDUCTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.5195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"H2033","description":"MULTISYSTEMIC THERAPY JUVENILES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0237","description":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0237","description":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX VIT W/WO MINERLS and TRACE ELEMS ORL PER DOSE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9153","description":"MX VIT W/WO MINERLS and TRACE ELEMS ORL PER DOSE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MX VIT W/WO MINERLS and TRACE ELEMS ORL PER DOSE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9153","description":"MX VIT W/WO MINERLS and TRACE ELEMS ORL PER DOSE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.7625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93356","description":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93356","description":"MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7856","description":"MYOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7856","description":"MYOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4226","description":"MYOWN SKIN INCL HARVEST AND PREP PROC PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99075","description":"Medical testimony","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 Reimbursment","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"SH998","description":"Member Reimbursment","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2342","description":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92512","description":"NASAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5913","description":"NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5926","description":"NASAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5922","description":"NASAL SEPTAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J3530","description":"NASAL VACCINE INHALATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1902.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1902.4585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31298","description":"NASAL/SINUS NDSC SURG W/DILATION FRNT and SPHN SINUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1902.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1902.4585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"0640T","description":"NCNTC NR IFR SPECTRSC OTH/THN PAD 1ST ANTMC SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88045","description":"NECROPSY CORONER CALL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88040","description":"NECROPSY FORENSIC EXAMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88028","description":"NECROPSY GROSS and MICROSCOPIC INFANT W/BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88025","description":"NECROPSY GROSS and MICROSCOPIC W/BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88020","description":"NECROPSY GROSS and MICROSCOPIC W/O CNS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88027","description":"NECROPSY GROSS AND MCRSCP BRAIN AND SPINAL CORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88016","description":"NECROPSY GROSS EXAM MACERATED STILLBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88014","description":"NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88012","description":"NECROPSY GROSS EXAMINATION INFANT W/BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88000","description":"NECROPSY GROSS EXAMINATION ONLY W/O CNS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88005","description":"NECROPSY GROSS EXAMINATION W/BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88007","description":"NECROPSY GROSS EXAMINATION W/BRAIN and SPINAL CORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88029","description":"NECROPSY GROSS and MCRSCP STILLBORN/NEWBORN BRAIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88037","description":"NECROPSY LIMITD GROSS and /MCRSCP SINGLE ORGAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88036","description":"NECROPSY LIMITED GROSS and /MCRSCP REGIONAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"20560","description":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","negotiated_rates":[{"provider_references":[216572],"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 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":[216572],"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-FREE INJECTION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4210","description":"NEEDLE-FREE INJECTION DEVICE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3351F","description":"NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97608","description":"NEG PRESSURE WOUND THERAPY NON DME GT 50 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97608","description":"NEG PRESSURE WOUND THERAPY NON DME GT 50 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME LT or equal to 50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97607","description":"NEG PRESSURE WOUND THERAPY NON DME LT or equal to 50 SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESSURE WOUND THERAPY NON DME LT or equal to 50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97607","description":"NEG PRESSURE WOUND THERAPY NON DME LT or equal to 50 SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3061F","description":"NEGATIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME GT 50 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME LT or equal to 50 SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.2,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":560.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.57,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":560.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":1704.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.03,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":1704.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1704.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":66.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100 PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100 PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":66.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOXFLO OR CLARIXFLO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4155","description":"NEOXFLO OR CLARIXFLO 1 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64913","description":"NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.7349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.7349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64912","description":"NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.7349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.7349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":558.0489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.16,"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":null,"billing_code":"0358U","description":"NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42 and 1-40","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4525F","description":"NEUROPSYCHIATRIC INTERVENTION ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4526F","description":"NEUROPSYCHIATRIC INTERVENTION RECEIVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1183F","description":"NEUROPSYCHIATRIC SYMPTOMS ABSENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1182F","description":"NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1181F","description":"NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1127F","description":"NEW EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1127F","description":"NEW EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q1004","description":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q1005","description":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3118F","description":"NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3620","description":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 METABOLIC SCREENING PANEL SPEC-STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3620","description":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/VIRAL TRAIL IP-10 C-REACT PRTN SRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0351U","description":"NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/VIRAL TRAIL IP-10 C-REACT PRTN SRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0351U","description":"NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4990","description":"NICOTINE PATCHES LEGEND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4991","description":"NICOTINE PATCHES NON-LEGEND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9526","description":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47531","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I EXISTING ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":257.4207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47532","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47532","description":"NJX CHOLANGIO PRQ W/IMG GID RS and I NEW ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":879.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":879.0883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36466","description":"NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":879.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":879.0883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50430","description":"NJX PX ANTEGRDE NFROSGRM and /URTRGRM NEW ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":389.2875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"0748T","description":"NJX STEM CLL PRDCT PERIANAL PERIFISTULAR SFT TIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4186F","description":"NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4151F","description":"NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8756","description":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8536","description":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9821","description":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F/U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3119F","description":"NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3493F","description":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3493F","description":"NO HIST NADIR CD4 Plus CELL CNT LT 350 and AIDS CONDITIO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8576","description":"NO POSTOP RENAL FAILURE/DIALYSIS NOT REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3757F","description":"NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3757F","description":"NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1461F","description":"NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9307","description":"NO RETURN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8970","description":"NO RISK FACTOR/1 MOD RISK FACTOR THROMBOEMBOLISM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3352F","description":"NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9311","description":"NO SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9309","description":"NO UNPLANNED HOSP RDM W/I 30 DAY PRINCIPAL PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7699","description":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7799","description":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOCTURNAL PENILE TUMESCENCE and /RIGIDITY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54250","description":"NOCTURNAL PENILE TUMESCENCE and /RIGIDITY TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"D7871","description":"NON-ARTHROSCOPIC LYSIS AND LAVAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-AUTOGENOUS CONNECTIVE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4275","description":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-AUTOGENOUS CONNECTIVE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4275","description":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A6000","description":"NON-CNTC WND WARMING WND COVR W/DEVC and CARD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2001","description":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2004","description":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2049","description":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; ENCOUNTER/TRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2003","description":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER/TRIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2002","description":"NON-EMERGENCY TRANSPORTATION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2002","description":"NON-EMERGENCY TRANSPORTATION; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0215","description":"NON-EMERGENCY TRANSPORTATION; PER MILE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0510","description":"NON-PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S1016","description":"NON-PVC IV ADMN SET W/RX THAT ARE NOT STABL PVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9698","description":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-SMALL CELL LUNG CANCER BX AND CYT SPEC RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"NON-SMALL CELL LUNG CANCER BX AND CYT SPEC RPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2103","description":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2103","description":"NONADJUNCTIVE NONIMPLANTED CGM/RECEIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AMBULANCE MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0888","description":"NONCOVERED AMBULANCE MILEAGE PER MILE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AMBULANCE MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0888","description":"NONCOVERED AMBULANCE MILEAGE PER MILE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9270","description":"NONCOVERED ITEM OR SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0180","description":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0180","description":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0210","description":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0210","description":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0190","description":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0190","description":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0200","description":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0200","description":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT and AIR TRAVEL INTRA-/INTERSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0140","description":"NONEMERG TRNSPRT and AIR TRAVEL INTRA-/INTERSTATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT and AIR TRAVEL INTRA-/INTERSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0140","description":"NONEMERG TRNSPRT and AIR TRAVEL INTRA-/INTERSTATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT and BUS INTRA-/INTERSTATE CARRIER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0110","description":"NONEMERG TRNSPRT and BUS INTRA-/INTERSTATE CARRIER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT and BUS INTRA-/INTERSTATE CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0110","description":"NONEMERG TRNSPRT and BUS INTRA-/INTERSTATE CARRIER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT-MILE-VEH PROV IND W/VESTED INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0090","description":"NONEMERG TRNSPRT-MILE-VEH PROV IND W/VESTED INT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT-MILE-VEH PROV IND W/VESTED INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0090","description":"NONEMERG TRNSPRT-MILE-VEH PROV IND W/VESTED INT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT-MILE-VEH VOLUN W/NO VESTED INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0080","description":"NONEMERG TRNSPRT-MILE-VEH VOLUN W/NO VESTED INT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT-MILE-VEH VOLUN W/NO VESTED INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0080","description":"NONEMERG TRNSPRT-MILE-VEH VOLUN W/NO VESTED INT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT: MINI-BUS MTN AREA/OTH SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0120","description":"NONEMERG TRNSPRT: MINI-BUS MTN AREA/OTH SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT: MINI-BUS MTN AREA/OTH SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0120","description":"NONEMERG TRNSPRT: MINI-BUS MTN AREA/OTH SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT: PER MILE-CASE/SOCIAL WORKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0160","description":"NONEMERG TRNSPRT: PER MILE-CASE/SOCIAL WORKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT: PER MILE-CASE/SOCIAL WORKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0160","description":"NONEMERG TRNSPRT: PER MILE-CASE/SOCIAL WORKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2005","description":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; TAXI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0100","description":"NONEMERGENCY TRANSPORTATION; TAXI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; TAXI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0100","description":"NONEMERGENCY TRANSPORTATION; TAXI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TELEPHONE ASSESSMENT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98967","description":"NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98968","description":"NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98966","description":"NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN","negotiated_rates":[{"provider_references":[216572],"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":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3250F","description":"NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0581","description":"NONSTANDARD LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4185F","description":"NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8783","description":"NORMAL BLOOD PRESS READING DOC F/U NOT REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1501F","description":"NOT INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1501F","description":"NOT INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9986","description":"NOT MEDICALLY NECESSARY SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J9999","description":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOTHING BY MOUTH ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6020F","description":"NOTHING BY MOUTH ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":717.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.78,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":717.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.78,"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":null,"billing_code":"S0274","description":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND CY SPC NOT DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9425","description":"NSCLC BX AND CY SPC NOT DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9284","description":"NSCLC BX CYT RPRT NOT DOC H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9290","description":"NSCLC BX CYT RPT NOT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9289","description":"NSCLC BX CYTOLOGY RPT DOC H TYPE/NSCLC-NOS EXPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING ASSESSMENT/EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1001","description":"NURSING ASSESSMENT/EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1031","description":"NURSING CARE IN THE HOME BY LPN PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9124","description":"NURSING CARE IN THE HOME; BY LPN PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1030","description":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9123","description":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT TOT TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus TOT TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.93,"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":null,"billing_code":"D1310","description":"NUTRITIONAL COUNSELING CONTROL OF DENTAL DISEASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal function studies","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5913","description":"Nasal prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5922","description":"Nasal septal prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J3530","description":"Nasal vaccine inhalation","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8120","description":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.43,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59510","description":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1666.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1666.5012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59510","description":"OB ANTEPARTUM CARE CESAREAN DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1666.5012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1666.5012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1508.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1508.2611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR AND POSTPARTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1508.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1508.2611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8855","description":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8851","description":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS DEFINITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5932","description":"OBTURATOR PROSTHESIS DEFINITIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5936","description":"OBTURATOR PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5933","description":"OBTURATOR PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5931","description":"OBTURATOR PROSTHESIS SURGICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5936","description":"OBTURATOR/PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9952","description":"OCCLUSAL ADJUSTMENT - COMPLETE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9951","description":"OCCLUSAL ADJUSTMENT - LIMITED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7881","description":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7880","description":"OCCLUSAL ORTHOTIC DEVICE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9950","description":"OCCLUSION ANALYSIS - MOUNTED CASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65782","description":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65782","description":"OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.0229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"G0129","description":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SKILLS QUAL OCCUP TRPST PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0129","description":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"S9129","description":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0352T","description":"OCT BREAST OR AXILL NODE SPECIMEN I AND R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0354T","description":"OCT BREAST SURG CAVITY REAL TIME/REFERRED I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0353T","description":"OCT OF BREAST SURG CAVITY REAL TIME INTRAOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5916","description":"OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5923","description":"OCULAR PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65780","description":"OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65781","description":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":604.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":604.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":761.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":761.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65781","description":"OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.3516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":604.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":604.3659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":761.7175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":761.7175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ODONTOPLASTY - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9971","description":"ODONTOPLASTY - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 1-2 TEETH; INCL REMOVAL ENAMEL PROJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9971","description":"ODONTOPLASTY 1-2 TEETH; INCL REMOVAL ENAMEL PROJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONSULTATION NEW/ESTAB PATIENT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE OUTPATIENT NEW 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE OUTPATIENT NEW 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE OUTPATIENT NEW 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE OUTPATIENT NEW 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE OUTPATIENT VISIT 10 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE OUTPATIENT VISIT 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE OUTPATIENT VISIT 25 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE OUTPATIENT VISIT 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 5 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE OUTPATIENT VISIT 5 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9430","description":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9440","description":"OFFICE VISIT-AFTER REGULARLY SCHEDULED HOURS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99245","description":"OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99243","description":"OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99244","description":"OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99242","description":"OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.26,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.9,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.54,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.25,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.47,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.29,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","22","24","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2014","description":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2014","description":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMEZA COLLAGEN MATRIX PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2014","description":"OMEZA COLLAGEN MATRIX PER 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNICARDIOGRAM/CARDIOINTEGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9025","description":"OMNICARDIOGRAM/CARDIOINTEGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"0333U","description":"ONC LVR SRVLNC HCC ALYS METHYLTN PATTERNS CFDNA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0356U","description":"ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CANCER ANALYSIS MRD FROM PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0340U","description":"ONC PAN CANCER ANALYSIS MRD FROM PLASMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CANCER ANALYSIS MRD FROM PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0340U","description":"ONC PAN CANCER ANALYSIS MRD FROM PLASMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0422U","description":"ONC PAN SOLID TUM ALYS DNA BMRK RSPSE ANTCA THER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0362U","description":"ONC PAP THYR CA RNA SEQ 82CNT and 10HSKP GEN FNA ALG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PNCRTC CA MULT IA ECLIA SRM ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0342U","description":"ONC PNCRTC CA MULT IA ECLIA SRM ALG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PNCRTC CA MULT IA ECLIA SRM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0342U","description":"ONC PNCRTC CA MULT IA ECLIA SRM ALG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PROSTATE MRNA XPRSN PRFLG HOXC6 and DLX1 RT-PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0339U","description":"ONC PROSTATE MRNA XPRSN PRFLG HOXC6 and DLX1 RT-PCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MRNA XPRSN PRFLG HOXC6 and DLX1 RT-PCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0339U","description":"ONC PROSTATE MRNA XPRSN PRFLG HOXC6 and DLX1 RT-PCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0359U","description":"ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 442 SNCRNA RT-QPCR UR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0343U","description":"ONC PRST8 XOME BASED ALYS 442 SNCRNA RT-QPCR UR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 442 SNCRNA RT-QPCR UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0343U","description":"ONC PRST8 XOME BASED ALYS 442 SNCRNA RT-QPCR UR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOL TUM CFDNA and RNA NGS IR GM CHIP TUM-DRV SNV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0485U","description":"ONC SOL TUM CFDNA and RNA NGS IR GM CHIP TUM-DRV SNV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOL TUM CFDNA and RNA NGS IR GM CHIP TUM-DRV SNV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0485U","description":"ONC SOL TUM CFDNA and RNA NGS IR GM CHIP TUM-DRV SNV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOLID TUMOR NGS ALYS TMM GT 20000 DMRS CFCTDNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0569U","description":"ONC SOLID TUMOR NGS ALYS TMM GT 20000 DMRS CFCTDNA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SOLID TUMOR NGS ALYS TMM GT 20000 DMRS CFCTDNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0569U","description":"ONC SOLID TUMOR NGS ALYS TMM GT 20000 DMRS CFCTDNA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9128","description":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9128","description":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9125","description":"ONC; CML BP NOT HEMAT CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9126","description":"ONC; CML HEMATOLOGIC CYTOGENIC/MOLECULAR REMISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9124","description":"ONC; CML; ACCEL PHASE NOT HEMA CYT/MOL REMISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9123","description":"ONC; CML; CHRON PHASE NOT HEMATOL CYT/MOL REMISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9137","description":"ONC; DZ STS; NHL; RELAPSED/REFRACTORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9072","description":"ONC; F BRST;ACA; ST I/II; ER and PR NEG;NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9071","description":"ONC; F BRST;ACA; ST I/II;ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9074","description":"ONC; F BRST;ACA; ST III; ER AND PR NEG; NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9073","description":"ONC; F BRST;ACA; ST III; ER and /PR POS;NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9130","description":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9129","description":"ONC; LTD TO MX MYELOMA SYS DZ ST II/HIGHER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9053","description":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9052","description":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9078","description":"ONC; PROS CA; T2/T3A GLEASON 8-10/PSA GT 20 NO METS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9089","description":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9087","description":"ONC; STATUS; COLON CA; M1 MET W/CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9086","description":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9084","description":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9085","description":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9088","description":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9098","description":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9099","description":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9097","description":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9096","description":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1/NX NO PROGRSSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9075","description":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9104","description":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9101","description":"ONC; STATUS; GASTRC CA; R1/R2 RESECT NO PRGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9103","description":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9102","description":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9100","description":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9111","description":"ONC; STATUS; HEAD AND NCK CA; M1 METASTATC LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9109","description":"ONC; STATUS; HEAD AND NCK CA; T1-T2 AND N0 M0 NO PROGRSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9112","description":"ONC; STATUS; HEAD AND NECK CA; EXTENT OF DZ UNKNOWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9110","description":"ONC; STATUS; HEAD and NCK CA;T3-4 and /N1-3 M0 NO PROGRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9067","description":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9063","description":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9064","description":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9065","description":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9066","description":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9117","description":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9116","description":"ONC; STATUS; OVARIAN CA; PROGRSSN and /PLATINM RSIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9115","description":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9108","description":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9105","description":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9106","description":"ONC; STATUS; PAN CA; R1/R2 RESECT NO PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9107","description":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9083","description":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9079","description":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9080","description":"ONC; STATUS; PROS CA; TX RISING PSA/FAIL DECLINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9095","description":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9094","description":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9090","description":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9091","description":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9093","description":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9092","description":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SC and COMB SM/NONSM; LTD NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9068","description":"ONC; STATUS; SC and COMB SM/NONSM; LTD NO PROGRESSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9070","description":"ONC; STATUS; SCLC SC and COMB SM/NONSM; EXTENT UNKN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9069","description":"ONC; STATUS; SCLC SM CELL and COMB SM/NONSM; EXT MET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9135","description":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9139","description":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9131","description":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9136","description":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9138","description":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9134","description":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9132","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9133","description":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS/M1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9114","description":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9077","description":"ONC;PROS CA;T1-T2C and GLESN 27 and PSA LT or equal to 20","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0360U","description":"ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0119","description":"ONDANSETRON ORAL 4 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAINTAIN EMPLOYMENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2025","description":"ONGOING SUPPORT MAINTAIN EMPLOYMENT PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2026","description":"ONGOING SUPPORT TO MAINTAIN EMPLOYMENT PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6612","description":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6612","description":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - METALLIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2542","description":"ONLAY - METALLIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - METALLIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2542","description":"ONLAY - METALLIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN CERAMIC - 4 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2644","description":"ONLAY - PORCELAIN CERAMIC - 4 OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN CERAMIC - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2643","description":"ONLAY - PORCELAIN CERAMIC - THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2642","description":"ONLAY - PORCELAIN CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2644","description":"ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2644","description":"ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2643","description":"ONLAY - PORCELAIN/CERAMIC - THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2643","description":"ONLAY - PORCELAIN/CERAMIC - THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2642","description":"ONLAY - PORCELAIN/CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY - PORCELAIN/CERAMIC - TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2642","description":"ONLAY - PORCELAIN/CERAMIC - TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY METALLIC FOUR OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2544","description":"ONLAY METALLIC FOUR OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY METALLIC FOUR OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2544","description":"ONLAY METALLIC FOUR OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY METALLIC THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2543","description":"ONLAY METALLIC THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY METALLIC THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2543","description":"ONLAY METALLIC THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2982","description":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2982","description":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2664","description":"ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2664","description":"ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSITE THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2663","description":"ONLAY RESIN BASED COMPOSITE THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSITE THREE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2663","description":"ONLAY RESIN BASED COMPOSITE THREE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSITE TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2662","description":"ONLAY RESIN BASED COMPOSITE TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLAY RESIN BASED COMPOSITE TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2662","description":"ONLAY RESIN BASED COMPOSITE TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 11-20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99422","description":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 11-20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 21 Plus MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 21 Plus MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 21 Plus MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99423","description":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 21 Plus MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[216572],"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":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 5-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99421","description":"ONLINE DIGITAL E/M SVC EST PT LT 7 D 5-10 MINUTES","negotiated_rates":[{"provider_references":[216572],"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":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9681","description":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9684","description":"ONSITE AC C TX NSG FAC RES UTI BILL SID-BENEF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9680","description":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9679","description":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9682","description":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89254","description":"OOCYTE ID FROM FOLLICULAR FLU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9147","description":"OP IV INSULIN TX MEASURE RQ and /UUN and /GLU and /K Pl","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 /","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9147","description":"OP IV INSULIN TX MEASURE: RQ; and /UUN; and /GLU; and /","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1030.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1046.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1030.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1046.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1046.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REDUCTION OF DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7810","description":"OPEN REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":901.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":946.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":955.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":901.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":946.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":955.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1041.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1094.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1106.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1041.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1041.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1094.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1106.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.14,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":664.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":697.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":664.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":697.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21812","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.2155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21812","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.2155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.2155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21813","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus RIBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21813","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7 Plus RIBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS AND CALCANEUS EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.93,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":704.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":704.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34715","description":"OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":183.2808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34716","description":"OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34714","description":"OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":159.9001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0414","description":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.1821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.1821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":605.2544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":605.2544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0414","description":"OPN TX ANT PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.1821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.1821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":605.2544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":605.2544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0412","description":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0412","description":"OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":291.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":291.7669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":447.4585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0415","description":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":652.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":652.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0415","description":"OPN TX POST PELV BONE FX and / DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.7016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":652.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":652.0156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.8115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.8115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIC NERVE HEAD EVALUATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2027F","description":"OPTIC NERVE HEAD EVALUATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88375","description":"OPTICAL ENDOMICROSCOPIC IMAGE INTERP AND REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4550F","description":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4550F","description":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4073F","description":"ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ANTIPLATELET THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4011F","description":"ORAL ANTIPLATELET THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL PT UND 3 YR AGE CNSL W PRIM CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0145","description":"ORAL EVAL PT UND 3 YR AGE CNSL W PRIM CAREGIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0145","description":"ORAL EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0145","description":"ORAL EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0350","description":"ORAL FACIAL PHOTO IMAGE OBTAIN INTRA EXTRAORLLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D1330","description":"ORAL HYGIENE INSTRUCTIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0350","description":"ORAL/FACIAL PHOTO IMAGE OBTAIN INTRA/EXTRAORLLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5915","description":"ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5928","description":"ORBITAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OROANTRAL FISTULA CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7260","description":"OROANTRAL FISTULA CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OROANTRAL FISTULA CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7260","description":"OROANTRAL FISTULA CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHO and PROS SPL ACSS and /SRVC CMPNT OTH HCPCS L CODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L9900","description":"ORTHO and PROS SPL ACSS and /SRVC CMPNT OTH HCPCS L CODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8680","description":"ORTHODONTIC RETENTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97760","description":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97760","description":"ORTHOTICS MGMT AND TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS OSTEOPERIOSTEAL CARTILAGE GRAFT MAND MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7950","description":"OSSEOUS OSTEOPERIOSTEAL CARTILAGE GRAFT MAND MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7950","description":"OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7950","description":"OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 1-3 CONTIG TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4261","description":"OSSEOUS SURG 1-3 CONTIG TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4261","description":"OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4261","description":"OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 4 OR GRT CONTIG TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4260","description":"OSSEOUS SURG 4 OR GRT CONTIG TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 4 OR GT CONTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4260","description":"OSSEOUS SURG 4 OR GT CONTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSSEOUS SURG 4 OR GT CONTIG/TOOTH BOUND SPACES-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4260","description":"OSSEOUS SURG 4 OR GT CONTIG/TOOTH BOUND SPACES-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":903.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":850.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":903.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0005F","description":"OSTEOARTHRITIS COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1006F","description":"OSTEOARTHRITIS SYMPTOMS AND FUNCJAL STATUS ASSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7940","description":"OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7940","description":"OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":736.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":736.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT-MANDIB RAMI W BONE GRFT;INCL OBTAIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7943","description":"OSTEOT-MANDIB RAMI W BONE GRFT;INCL OBTAIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7943","description":"OSTEOT-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7943","description":"OSTEOT-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - MANDIBULAR RAMI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7941","description":"OSTEOTOMY - MANDIBULAR RAMI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - MANDIBULAR RAMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7941","description":"OSTEOTOMY - MANDIBULAR RAMI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.28,"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":null,"billing_code":"S2115","description":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SEGMENTED OR SUBAPICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7944","description":"OSTEOTOMY SEGMENTED OR SUBAPICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SEGMENTED OR SUBAPICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7944","description":"OSTEOTOMY SEGMENTED OR SUBAPICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY-BODY OF MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7945","description":"OSTEOTOMY-BODY OF MANDIBLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-BODY OF MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7945","description":"OSTEOTOMY-BODY OF MANDIBLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4421","description":"OSTOMY SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9007F","description":"OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0502","description":"OTHER ORAL PATHOLOGY PROCEDURES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9012","description":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TMJ RADIOGRAPHIC IMAGES BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0321","description":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5865","description":"OVERDENTURE - COMPLETE MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5863","description":"OVERDENTURE - COMPLETE MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5866","description":"OVERDENTURE - PARTIAL MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5864","description":"OVERDENTURE - PARTIAL MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CMPLT MANDIBULAR NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5865","description":"OVERDENTURE CMPLT MANDIBULAR NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CMPLT MANDIBULAR NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5865","description":"OVERDENTURE CMPLT MANDIBULAR NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CMPLT MAXILLARY NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5863","description":"OVERDENTURE CMPLT MAXILLARY NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CMPLT MAXILLARY NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5863","description":"OVERDENTURE CMPLT MAXILLARY NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRTL MANDIBULAR NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5866","description":"OVERDENTURE PRTL MANDIBULAR NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRTL MANDIBULAR NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5866","description":"OVERDENTURE PRTL MANDIBULAR NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRTL MAXILLARY NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5864","description":"OVERDENTURE PRTL MAXILLARY NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PRTL MAXILLARY NATURAL TOOTH BORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5864","description":"OVERDENTURE PRTL MAXILLARY NATURAL TOOTH BORNE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8121","description":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SATUR LT EQUAL 88 PCT /PAO2 LT EQUAL 55 MM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR LT EQUAL 88 PCT /PAO2 LT EQUAL 55 MM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3035F","description":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3035F","description":"OXYGEN SATUR LT or equal to 88 PCT /PAO2 LT or equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3037F","description":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3037F","description":"OXYGEN SATURATION GT 88 PCT /PAO2 GT 55 MM HG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3028F","description":"OXYGEN SATURATION RESULTS DOCUMENTED AND REVIEWE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0455","description":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5916","description":"Ocular prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5923","description":"Ocular prosthesis interim","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5915","description":"Orbital prosthesis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8680","description":"Orthodontic retention","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9786","description":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W/I 7 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8430","description":"PADDING FOR COMPRESSION BANDAGE ROLL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAG PROVIDED TO CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4058F","description":"PAG PROVIDED TO CAREGIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1126F","description":"PAIN SEVERITY QUANTIFIED NO PAIN PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1125F","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL AUGMENTATION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5954","description":"PALATAL AUGMENTATION PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5955","description":"PALATAL LIFT PROSTHESIS DEFINITIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5958","description":"PALATAL LIFT PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5959","description":"PALATAL LIFT PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4174","description":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE EMERGENCY TX DENTAL PAIN MINOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9110","description":"PALLIATIVE EMERGENCY TX DENTAL PAIN MINOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9110","description":"PALLIATIVE TREATMENT OF DENTAL PAIN - PER VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0330","description":"PANORAMIC RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0207","description":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0208","description":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9024","description":"PARANASAL SINUS ULTRASOUND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9444","description":"PARENTING CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11057","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION GT 4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11055","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11056","description":"PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARKINSON DISEASE DIAGNOSIS REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1400F","description":"PARKINSON DISEASE DIAGNOSIS REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"L6028","description":"PART HND F and THMB PROS AMP MCP NO INSRT DESC L6692","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSTEC SEQUESTRECTOMY REMOVAL NON-VITAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7550","description":"PART OSTEC SEQUESTRECTOMY REMOVAL NON-VITAL BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7550","description":"PART OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7550","description":"PART OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PULPOTOMY FOR APEXOGENEIS PERM TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3222","description":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PULPOTOMY FOR APEXOGENEIS PERM TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3222","description":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HOSITALIZATION SERVICES LT 24 HR PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0201","description":"PARTIAL HOSITALIZATION SERVICES LT 24 HR PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0201","description":"PARTIAL HOSPITALIZATION SERVICES LT 24 HR PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86403","description":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.69,"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":null,"billing_code":"T2011","description":"PASRR LEVEL II EVALUATION PER EVALUATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LEVL I IDENTIFICATION SCREEN PER SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T2010","description":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LEVL I IDENTIFICATION SCREEN PER SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2010","description":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88333","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3318F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIA RAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3317F","description":"PATH REPRT MALIGNANCY DOCD AND RVWD INITIATE CHE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9785","description":"PATH RPRT CUT BCC SCC/MM RVW W/I 7 D RECV PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT INCLUDES PT AND PN CAT GLEASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3267F","description":"PATH RPRT INCLUDES PT AND PN CAT GLEASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT NO PT CAT AND STM THK ULCER AND MITOTIC RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9431","description":"PATH RPRT NO PT CAT AND STM THK ULCER AND MITOTIC RA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPRT PT CAT AND STM THK ULCER AND MITOTIC RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9428","description":"PATH RPRT PT CAT AND STM THK ULCER AND MITOTIC RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9293","description":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9294","description":"PATH RPT W/PT CAT THICKNESS ULCERATION PT1 MR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9784","description":"PATHOLOGISTS/DERMATOPATH PRVDG 2ND OPINION ON BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9939","description":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CONSULTATION DURING SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88329","description":"PATHOLOGY CONSULTATION DURING SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9689","description":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9540","description":"PATIENT ALIVE 3 MONTHS POST PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9787","description":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4158F","description":"PATIENT COUNSELED ABOUT RISKS ALCOHOL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9844","description":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CA DIRECT TX LST 14DAY LIFE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9848","description":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9812","description":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4562F","description":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DOES NOT HAVE A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4562F","description":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DOES NOT HAVE RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1505F","description":"PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DOES NOT HAVE RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1505F","description":"PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ENROLLED IN HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9858","description":"PATIENT ENROLLED IN HOSPICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT EXHIBITS 2 OR GT RISK FAC POST-OP VOMITING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9954","description":"PATIENT EXHIBITS 2 OR GT RISK FAC POST-OP VOMITING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9416","description":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9416","description":"PATIENT HAD 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9769","description":"PATIENT HAD BMDT P 2 YR/RECV OPO MED/TX P 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4561F","description":"PATIENT HAS A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4561F","description":"PATIENT HAS A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DOC IMMUN HEP B AND INIT ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8869","description":"PATIENT HAS DOC IMMUN HEP B AND INIT ANTI-TNF TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3515F","description":"PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9842","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9838","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAS RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1504F","description":"PATIENT HAS RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1504F","description":"PATIENT HAS RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ID UNHLTHY ALCOHOL USER SCR AND BRF COUNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9621","description":"PATIENT ID UNHLTHY ALCOHOL USER SCR AND BRF COUNS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9793","description":"PATIENT IS CUR ON DAILY ASPIRIN/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9796","description":"PATIENT IS CURRENTLY ON HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3290F","description":"PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3291F","description":"PATIENT IS D (RH) POSITIVE OR SENSITIZED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3762F","description":"PATIENT IS DYSARTHRIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3762F","description":"PATIENT IS DYSARTHRIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CUR ON A DAILY ASPIRIN/OTH AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9795","description":"PATIENT IS NOT CUR ON A DAILY ASPIRIN/OTH AP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3763F","description":"PATIENT IS NOT DYSARTHRIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3763F","description":"PATIENT IS NOT DYSARTHRIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9797","description":"PATIENT IS NOT ON A HIGH INTENSITY STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS NOT ON A STATIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9797","description":"PATIENT IS NOT ON A STATIN THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9417","description":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9417","description":"PATIENT NO 1 TET DT and TDAP ON/BTW PT 10 and 13 BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9721","description":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8833","description":"PATIENT NOT D/C HOME POSTOP DAY #2 FOLLOW EVAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8838","description":"PATIENT NOT D/C TO HOME BY POSTOP DAY #2 FLW CEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8857","description":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9744","description":"PATIENT NOT ELIGIBLE D/T ACTIVE DX HYPERTENSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8708","description":"PATIENT NOT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8708","description":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4172F","description":"PATIENT NOT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4095F","description":"PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT RECEIVING GLUCOCORTICOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4192F","description":"PATIENT NOT RECEIVING GLUCOCORTICOID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9905","description":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9380","description":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6015F","description":"PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8710","description":"PATIENT PRESCRIBED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8710","description":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED ABOUT FALLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6080F","description":"PATIENT QUERIED ABOUT FALLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6070F","description":"PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4194F","description":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4194F","description":"PATIENT RCVNG Equal to GT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RCVNG LT 10 MG DAILY PREDNISONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4193F","description":"PATIENT RCVNG LT 10 MG DAILY PREDNISONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9845","description":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVED COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9956","description":"PATIENT RECEIVED COMBINATION THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVED COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9956","description":"PATIENT RECEIVED COMBINATION THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING (ESA) THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4171F","description":"PATIENT RECEIVING (ESA) THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9914","description":"PATIENT RECEIVING AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4090F","description":"PATIENT RECEIVING ERYTHROPOIETIN THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4055F","description":"PATIENT RECEIVING PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9690","description":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9383","description":"PATIENT RECV SCREENING HCV INF W/I 12 MO PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CANCER DIR TX LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9847","description":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4062F","description":"PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9728","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9730","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9732","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9734","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9736","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED TO PARTICIPATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9726","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6090F","description":"PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0917","description":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9903","description":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9903","description":"PATIENT SCR TOBACCO USE AND ID AS TOB NON-USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCR TOBACCO USE AND ID AS TOBACCO USER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9902","description":"PATIENT SCR TOBACCO USE AND ID AS TOBACCO USER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED DEPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1220F","description":"PATIENT SCREENED DEPRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4290F","description":"PATIENT SCREENED FOR INJECTION DRUG USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT GT EQUAL TO 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9861","description":"PATIENT SPENT GT EQUAL TO 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9860","description":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9605","description":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9603","description":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL and D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PATIENT UN TO COMPL HIP FS PROM INIT EVAL and D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PATIENT UNABLE COMPL KNEE FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9693","description":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9714","description":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8400","description":"PATIENT W/CENTRAL DXA RESULTS NOT DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8399","description":"PATIENT W/DOC RESULTS CENTRL DXA EVER BEING PERF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9710","description":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1018","description":"PATIENTS ACTV DX/HX CA PT HVY TOB SMKR LC SCR PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9724","description":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8863","description":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9544","description":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9688","description":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9408","description":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9408","description":"PATIENTS W/CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9779","description":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9807","description":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9846","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO DIED FROM CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9859","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE A DIAGNOSIS OF RHABDOMYOLYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9780","description":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9806","description":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY/HPV TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9761","description":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9702","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9805","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9700","description":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9713","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9741","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9819","description":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9768","description":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9648","description":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9646","description":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9674","description":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9711","description":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY/CRC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WO CT and /PERICARDIOCENTESIS OCR WI 30 DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9409","description":"PATIENTS WO CT and /PERICARDIOCENTESIS OCR WI 30 DA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATTERN ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0509T","description":"PATTERN ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATTERN ELECTRORETINOGRAPHY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0509T","description":"PATTERN ELECTRORETINOGRAPHY W/I and R","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9223","description":"PCP P PRSC 3 MO CD4 Plus BLW 500 CE/MM3/CD4 PCT BLW 15 P","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96573","description":"PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8110","description":"PEAK EXPIRATORY FLOW RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9593","description":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 APNEA MONITOR ANALYSES COMPUTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94776","description":"PEDIATRIC APNEA MONITOR ANALYSES COMPUTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 APNEA MONITOR ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94775","description":"PEDIATRIC APNEA MONITOR ATTACHMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ATTACHMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94775","description":"PEDIATRIC HOME APNEA MNTR ATTACHMENT ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DL and ANALYSES BY CPTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94776","description":"PEDIATRIC HOME APNEA MNTR DL and ANALYSES BY CPTR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DL and ANALYSES BY CPTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94776","description":"PEDIATRIC HOME APNEA MNTR DL and ANALYSES BY CPTR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6985","description":"PEDIATRIC PARTIAL DENTURE FIXED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PARTIAL DENTURE FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6985","description":"PEDIATRIC PARTIAL DENTURE FIXED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDICLE SOFT TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4270","description":"PEDICLE SOFT TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDICLE SOFT TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4270","description":"PEDICLE SOFT TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDICULOSIS TX TOPICAL ADMIN PATIENT/CARETAKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9180","description":"PEDICULOSIS TX TOPICAL ADMIN PATIENT/CARETAKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDICULOSIS TX TOPICAL ADMIN PATIENT/CARETAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9180","description":"PEDICULOSIS TX TOPICAL ADMIN PATIENT/CARETAKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99459","description":"PELVIC EXAMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE PLETHYSMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54240","description":"PENILE PLETHYSMOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE PLETHYSMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54240","description":"PENILE PLETHYSMOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":705.0897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":705.0897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":773.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":773.1273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":636.6078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":705.0897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":705.0897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":773.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":773.1273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":270.4905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8806","description":"PERFORM TRANS-ABD/TRANS-VAG U/S and PREG LOC DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3005","description":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3328F","description":"PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0120","description":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ORAL EVALUATION ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0120","description":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8670","description":"PERIODIC ORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ESTABLISHED PATIENT LT 1Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT LT 1Y","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT LT 1Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT LT 1Y","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4910","description":"PERIODONTAL MAINTENANCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4910","description":"PERIODONTAL MAINTENANCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ARTERIAL DISEASE REHAB PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93668","description":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93668","description":"PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"A4653","description":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS PLAN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507F","description":"PERITONEAL DIALYSIS PLAN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM B PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM B PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2016","description":"PERMEADERM B PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2018","description":"PERMEADERM C PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM C PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2018","description":"PERMEADERM C PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2017","description":"PERMEADERM GLOVE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ACCESS AND CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34713","description":"PERQ ACCESS AND CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ACCESS AND CLOSURE FEM ART FOR DELIVERY NDGFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34713","description":"PERQ ACCESS AND CLOSURE FEM ART FOR DELIVERY NDGFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.4819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":522.6974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":522.6974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ART TRLUML M-THROMBEC and /NFS INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61645","description":"PERQ ART TRLUML M-THROMBEC and /NFS INTRACRANIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":522.6974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":522.6974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61642","description":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":232.1463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":232.1463,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":232.1463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":232.1463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61641","description":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.2431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.2431,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":115.2431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":115.2431,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0341","description":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1036.4399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1036.4399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0341","description":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH AND INFUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1036.4399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1036.4399,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0413","description":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.9114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.9114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0413","description":"PERQ SKEL FIX POST PELV BONE FX and /DISLOC UNI/BIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.5628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":515.9404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.9114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.9114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.98,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1038F","description":"PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5199","description":"PERSONAL CARE ITEM NOS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1020","description":"PERSONAL CARE SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0252","description":"PET IMAG INIT DX BREST CA and /SURG PLAN NOT COV MCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":null,"billing_code":"G0219","description":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0235","description":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0596","description":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8635","description":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MANAGEMENT W/PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4005F","description":"PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8633","description":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S9430","description":"PHARMACY COMPOUNDING AND DISPENSING SERVICES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOENIX WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A2015","description":"PHOENIX WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOENIX WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2015","description":"PHOENIX WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0810","description":"PHOTOREFRACTIVE KERATECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0812","description":"PHOTOTHERAPEUTIC KERATECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CERT MCR-COVR HOM HLTH SRVC PER CERT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0180","description":"PHYS CERT MCR-COVR HOM HLTH SRVC PER CERT PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0454","description":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA/CNS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2040F","description":"PHYS EXAM ON DATE OF INIT VST FOR LBP DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MGT PT HOME CARE EPISODIC CARE MO CASE RATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0272","description":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0271","description":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9685","description":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9685","description":"PHYS OTH PROF E AND M BENEFIC CHG COND NSG FACILITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS RE-CERT MCR-COVR HOM HLTH SRVC RE-CERT PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0179","description":"PHYS RE-CERT MCR-COVR HOM HLTH SRVC RE-CERT PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0250","description":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0250","description":"PHYS REV INTEPR AND PT MGMT HOME INR MON; 1 A WEEK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0372","description":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0372","description":"PHYS SRVC RQR TO EST AND DOC NEED PWR MOBIL DEVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99360","description":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99360","description":"PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SUPV PT RECV MCR-COVR SRVC HOM HLTH AGCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0181","description":"PHYS SUPV PT RECV MCR-COVR SRVC HOM HLTH AGCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0182","description":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0182","description":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"S0273","description":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0180","description":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0180","description":"PHYS/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0179","description":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0179","description":"PHYS/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0181","description":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0181","description":"PHYS/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"S0622","description":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","19","20","22","23","24","49","50","60","62","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY; IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9131","description":"PHYSICAL THERAPY; IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0270","description":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXERCISE STUDY AND HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY AND HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.1431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIN RETENTION - PER TOOTH ADDITION RESTORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2951","description":"PIN RETENTION - PER TOOTH ADDITION RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIN RETENTION - PER TOOTH ADDITION RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2951","description":"PIN RETENTION - PER TOOTH ADDITION RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0347T","description":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67335","description":"PLACEMENT ADJUSTABLE SUTURE STRABISMUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":295.9754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":295.9754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":295.9754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":295.9754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55920","description":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55920","description":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.8365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.8365,"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":null,"billing_code":"D2940","description":"PLACEMENT OF INTERIM DIRECT RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPLANT ABUTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6051","description":"PLACEMENT OF INTERIM IMPLANT ABUTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPLANT ABUTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6051","description":"PLACEMENT OF INTERIM IMPLANT ABUTMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANC DEVC RQR FLAP; INC DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7293","description":"PLACEMENT TEMP ANC DEVC RQR FLAP; INC DEVC REMV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANC DEVC W O FLAP; INC DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7294","description":"PLACEMENT TEMP ANC DEVC W O FLAP; INC DEVC REMV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANC DEVC W/O FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7294","description":"PLACEMENT TEMP ANC DEVC W/O FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANC DEVC W/O FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7294","description":"PLACEMENT TEMP ANC DEVC W/O FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANCHORAGE DEVC RQR FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7293","description":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANCHORAGE DEVC RQR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7293","description":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":205.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":205.0014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34709","description":"PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":205.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":205.0014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0545F","description":"PLAN FOR FOLLOW-UP CARE FOR MDD DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0556F","description":"PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521F","description":"PLAN OF CARE TO ADDRESS PAIN DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0557F","description":"PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0514F","description":"PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519F","description":"PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9071","description":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"P9070","description":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEVICE FACILITATE ERUPTION IMPACTED TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7283","description":"PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEVICE FACILITATE ERUPTION IMPACTED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7283","description":"PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANC DEVC SCREW RETN PLATE RQR FLAP;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7292","description":"PLCMT TEMP ANC DEVC SCREW RETN PLATE RQR FLAP;","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7292","description":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7292","description":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BILE DUCT STENT PRQ EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47538","description":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2266.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2266.2611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47538","description":"PLMT BILE DUCT STENT PRQ EXISTING ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2266.2611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2266.2611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47540","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2551.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2551.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47540","description":"PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2551.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2551.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50432","description":"PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":561.6027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50433","description":"PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SCJNCL RTA PROSTH AND PLS AND IMPLTJ INTRA-OC RTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0100T","description":"PLMT SCJNCL RTA PROSTH AND PLS AND IMPLTJ INTRA-OC RTA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SCJNCL RTA PROSTH AND PLS AND IMPLTJ INTRA-OC RTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0100T","description":"PLMT SCJNCL RTA PROSTH AND PLS AND IMPLTJ INTRA-OC RTA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50695","description":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":844.9526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":844.9526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50695","description":"PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":844.9526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":844.9526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":604.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":604.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50693","description":"PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":604.1555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":604.1555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50694","description":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50694","description":"PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":691.8095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":691.8095,"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":null,"billing_code":"A4870","description":"PLUMBING AND OR ELEC WORK HOME HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9279","description":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8867","description":"PNEUMOCOCCAL VAC NOT ADM/PREV RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9280","description":"PNEUMOCOCCAL VACC NOT ADM PRIOR D/C RSN NOT SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8864","description":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4040F","description":"PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1022F","description":"PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4280F","description":"PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4279F","description":"PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM LT 6 YRS SLEEP STAGE 4 OR GT ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95782","description":"POLYSOM LT 6 YRS SLEEP STAGE 4 OR GT ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.1857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.1857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM LT 6 YRS SLEEP STAGE 4 OR GT ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95782","description":"POLYSOM LT 6 YRS SLEEP STAGE 4 OR GT ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.1857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.1857,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT PARAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95783","description":"POLYSOM LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT PARAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":687.1567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":687.1567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95783","description":"POLYSOM LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT PARAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":595.7385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":687.1567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":687.1567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6210","description":"PONTIC - CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6210","description":"PONTIC - CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6212","description":"PONTIC - CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6212","description":"PONTIC - CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6211","description":"PONTIC - CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6211","description":"PONTIC - CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6245","description":"PONTIC - PORCELAIN CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6240","description":"PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6240","description":"PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6242","description":"PONTIC - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6242","description":"PONTIC - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6245","description":"PONTIC - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6245","description":"PONTIC - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELN FUSED PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6241","description":"PONTIC - PORCELN FUSED PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELN FUSED PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6241","description":"PONTIC - PORCELN FUSED PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6250","description":"PONTIC - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6250","description":"PONTIC - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6252","description":"PONTIC - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6252","description":"PONTIC - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6251","description":"PONTIC - RESIN WITH PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6251","description":"PONTIC - RESIN WITH PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6214","description":"PONTIC - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6214","description":"PONTIC - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDIRECT RESIN BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6205","description":"PONTIC INDIRECT RESIN BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDIRECT RESIN BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6205","description":"PONTIC INDIRECT RESIN BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86965","description":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8096","description":"PORTABLE PEAK FLOW METER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T5001","description":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T5001","description":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8845","description":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3062F","description":"POSITIVE MACROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3060F","description":"POSITIVE MICROALBUMINURIA TEST RESULT DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9598","description":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9597","description":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND CORE ADDITION TO CROWN INDIRECTLY FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2952","description":"POST AND CORE ADDITION TO CROWN INDIRECTLY FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND CORE ADDITION TO CROWN INDIRECTLY FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2952","description":"POST AND CORE ADDITION TO CROWN INDIRECTLY FAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2955","description":"POST REMOVAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"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":null,"billing_code":"G0305","description":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9358","description":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9357","description":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0503F","description":"POSTPARTUM CARE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4276F","description":"POTENT ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING AND ROOT PLANING 1-3 TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4342","description":"PRDONTAL SCALING AND ROOT PLANING 1-3 TEETH-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING AND ROOT PLANING 1-3 TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4342","description":"PRDONTAL SCALING AND ROOT PLANING 1-3 TEETH-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING AND ROOT PLANING 4 MORE TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4341","description":"PRDONTAL SCALING AND ROOT PLANING 4 MORE TEETH-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING and ROOT PLANING 4/MORE TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4341","description":"PRDONTAL SCALING and ROOT PLANING 4/MORE TEETH-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRDONTAL SCALING and ROOT PLANING 4/MORE TEETH-QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4341","description":"PRDONTAL SCALING and ROOT PLANING 4/MORE TEETH-QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0304","description":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0303","description":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0302","description":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3018F","description":"PRE-PRX RISK ASSESS DEPTH AND QUAL BOWEL PREP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRECISION ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6950","description":"PRECISION ATTACHMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5862","description":"PRECISION ATTACHMENT BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ESTHETIC COAT STNLESS STEEL CROWN PRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2934","description":"PREFAB ESTHETIC COAT STNLESS STEEL CROWN PRIM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ESTHETIC COAT STNLESS STEEL CROWN PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2934","description":"PREFAB ESTHETIC COAT STNLESS STEEL CROWN PRIM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN CERAMIC CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2929","description":"PREFAB PORCELAIN CERAMIC CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN/CERAMIC CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2929","description":"PREFAB PORCELAIN/CERAMIC CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN/CERAMIC CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2929","description":"PREFAB PORCELAIN/CERAMIC CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2931","description":"PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2931","description":"PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2930","description":"PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2930","description":"PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN W RESIN WINDOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2933","description":"PREFABR STAINLESS STEEL CROWN W RESIN WINDOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2933","description":"PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2933","description":"PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABUTMENT-INCL MOD AND PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6056","description":"PREFABRICATED ABUTMENT-INCL MOD AND PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABUTMENT-INCL MOD AND PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6056","description":"PREFABRICATED ABUTMENT-INCL MOD AND PLACEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D2954","description":"PREFABRICATED POST AND CORE IN ADDITION TO CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESIN CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2932","description":"PREFABRICATED RESIN CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INDCD F/U NOT DOC RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8952","description":"PREHTN/HTN BP DOC INDCD F/U NOT DOC RSN NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN/HTN BP READING DOC and INDICATED F/U DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8950","description":"PREHTN/HTN BP READING DOC and INDICATED F/U DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H1005","description":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H1003","description":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; ANTPRTM MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H1001","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; ANTPRTM MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1001","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H1004","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; F/U HOM VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H1002","description":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL FLOW SHEET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0501F","description":"PRENATAL FLOW SHEET","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3325F","description":"PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREORTHODONTIC TREATMENT VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8660","description":"PREORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0455","description":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0455","description":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95144","description":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95144","description":"PREPJ AND ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ EMBRYO TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89255","description":"PREPJ EMBRYO TR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIBED OR DISPENSED ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8711","description":"PRESCRIBED OR DISPENSED ANTIBIOTIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5001","description":"PRESCRIPTION DRUG BRAND NAME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BRAND NAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5001","description":"PRESCRIPTION DRUG BRAND NAME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J8999","description":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J8499","description":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1090F","description":"PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"86970","description":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86972","description":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86971","description":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86977","description":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86978","description":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86976","description":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86975","description":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9662","description":"PREV DX OR HV DX CLINICAL ASCVD INCL ASCVD PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99403","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 45 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99411","description":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 30 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99411","description":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 30 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99412","description":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99412","description":"PREV MED COUNSEL AND RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[216572],"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":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99403","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 45 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4510F","description":"PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9662","description":"PREVIOUSLY DIAGNOSED/HAVE ACTIVE DX CLIN ASCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DEVICE EVALUATION CARDIAC MODULJ SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0417T","description":"PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9425","description":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9422","description":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9421","description":"PRIM NSCLC BX AND CY S NO DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC BX AND CY SPEC DOC CLASS NSCLC-NOS EXPLAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9418","description":"PRIM NSCLC LUNG BX and CY SPEC RP CLAS NSCLC-NOS EXP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMARY CLOSURE OF A SINUS PERFORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7261","description":"PRIMARY CLOSURE OF A SINUS PERFORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMARY CLOSURE OF A SINUS PERFORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7261","description":"PRIMARY CLOSURE OF A SINUS PERFORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":65.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":65.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR THYROID DISEASE DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9553","description":"PRIOR THYROID DISEASE DIAGNOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0514","description":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0514","description":"PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0513","description":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0513","description":"PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68815","description":"PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.6959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.3529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68811","description":"PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0182","description":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0182","description":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2154.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.98,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2154.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2785","description":"PROCESSING PRES AND TRANSPORTING CORNEAL TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0183","description":"PROCHLORPERAZINE MALEATE ORAL 5MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4026","description":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9055","description":"PROCUREN/OTH GROWTH FCT PREP PROMOTE WND HEALING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95120","description":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95125","description":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2 OR GT NJX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95130","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95131","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95132","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95133","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95134","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.26,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99415","description":"PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99416","description":"PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"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":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99359","description":"PROLNG E/M BEFORE and /AFTER DIR CARE EA 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99358","description":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99358","description":"PROLNG E/M SVC BEFORE and /AFTER DIR PT CARE 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2212","description":"PROLONG OFC/OP E and M BYND REQ TIME; EA ADD 15 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99415","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[216572],"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":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99416","description":"PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL","negotiated_rates":[{"provider_references":[216572],"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":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8569","description":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M0076","description":"PROLOTHERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 12.5 MG ORAL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0169","description":"PROMETHAZINE HCL 12.5 MG ORAL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 12.5 MG ORAL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0169","description":"PROMETHAZINE HCL 12.5 MG ORAL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPHYLAXIS - ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1110","description":"PROPHYLAXIS - ADULT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPHYLAXIS - ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1110","description":"PROPHYLAXIS - ADULT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPHYLAXIS - CHILD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1120","description":"PROPHYLAXIS - CHILD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPHYLAXIS - CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1120","description":"PROPHYLAXIS - CHILD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3274F","description":"PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1789","description":"PROSTHESIS BREAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"92358","description":"PROSTHESIS SERVICE APHAKIA TEMPORARY","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"PROSTHESIS URINARY SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1815","description":"PROSTHESIS URINARY SPHINCTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2629","description":"PROSTHETIC EYE OTHER TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"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":null,"billing_code":"A4802","description":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE RESTORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2940","description":"PROTECTIVE RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CROWN-FUR TX COMPL DX NEC B4 FINAL IMPRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2799","description":"PROV CROWN-FUR TX COMPL DX NEC B4 FINAL IMPRESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REF PT ANR PROV NOT RECV RPRT PROV PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9970","description":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9969","description":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47533","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I EXTERNL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.0858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47534","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.1235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47534","description":"PRQ PLMT BILIARY DRG CATH W/IMG GID RS and I INT-EXT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.1235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.1235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PRQ SKEL FIXJ METAR FX W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4015F","description":"PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE GASEOUS O2 SYS 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL HND FNGR FLEX/NONFLEX I/F ENDOSKEL SYS MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6028","description":"PRTL HND FNGR FLEX/NONFLEX I/F ENDOSKEL SYS MOLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRVS PONTIC-FUR TX CMPL DX NEC B4 FINAL IMPRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6253","description":"PRVS PONTIC-FUR TX CMPL DX NEC B4 FINAL IMPRESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRVS RET CRWN-FUR TX CMPL DX NEC B4 FINAL IMPRSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6793","description":"PRVS RET CRWN-FUR TX CMPL DX NEC B4 FINAL IMPRSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0249","description":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0249","description":"PRVS TEST MATL AND EQUIP HOME INR MON; ONCE A WEEK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3268F","description":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3268F","description":"PSA AND TUMOR STAGE AND GLEASON SCORE PRIOR INIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9651","description":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9649","description":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0345U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3700F","description":"PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90885","description":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"H2013","description":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":null,"billing_code":"H2027","description":"PSYCHOEDUCATIONAL SERVICE PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"H2018","description":"PSYCHOSOCIAL REHABILITATION SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[216572],"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 COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[216572],"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":null,"billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY SERVICES PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4060F","description":"PSYCHOTHERAPY SERVICES PROVIDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"96138","description":"PSYCL/NRPSYCL TST TECH 2 Plus TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"96139","description":"PSYCL/NRPSYCL TST TECH 2 Plus TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT 85 YEARS OF AGE WHO RECV ROUTINE COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT GT 85 YEARS OF AGE WHO RECV ROUTINE COLONOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9659","description":"PT GT or equal to TO 86 YOA SCR COL and NO HX CRC/OTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9661","description":"PT GT or equal to 86 YOA WHO RECEIVED COLONOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9247","description":"PT 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9898","description":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9901","description":"PT 65 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9938","description":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9938","description":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9898","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9901","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G2098","description":"PT 66 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2099","description":"PT 66 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 IP ADV ILL DUR/YR PRI MP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2116","description":"PT 66 and GT 1 CLM FRLTY and 1 IP ADV ILL DUR/YR PRI MP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DUR MSR and DUR/YR PRI MSR PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2099","description":"PT 66 and GT 1 CLM FRLTY DUR MSR and DUR/YR PRI MSR PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"G2116","description":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2116","description":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9644","description":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG/PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9516","description":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9412","description":"PT ADM WI 180 D PST CIED W/INF DVC RMV/SURG REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9410","description":"PT ADM WI 180 DAYS POST CIED W/INF RQR DEVC REMV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9676","description":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1/TYPE 2 DIAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9394","description":"PT BPD/PD PERM NH/HOSPICE/PALL CARE DUR ASSESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1051","description":"PT CA FX/INF REL LS/PT HAD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1041","description":"PT CA FX/INF REL TO LSP/PT IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9945","description":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER FX/INF REL TO LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9945","description":"PT CANCER FX/INF REL TO LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8724","description":"PT CAT PN CAT AND HISTOL GR NOT DOC PATH RPT NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CATEGORY PN CATEGORY AND HISTOL GR DOC PATH RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8721","description":"PT CATEGORY PN CATEGORY AND HISTOL GR DOC PATH RPT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4306F","description":"PT COUNSEL PSYCHOSOC AND PHARM TX OPIOID ADDICTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4320F","description":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4320F","description":"PT COUNSEL PSYCHSOC AND PHARM TX ALCOHOL DEPEND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4163F","description":"PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9664","description":"PT CURRENT STATIN TX USER/RCVD ORDER STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8834","description":"PT D/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8826","description":"PT D/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9645","description":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX/PCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9813","description":"PT DID NOT DIE W/I 30 DA OF PROC/DUR INDEX HOSP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9 and 13 BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9763","description":"PT DID NOT HAVE 2/3 HPV VACC ON/BTW 9 and 13 BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4555F","description":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECEIVE INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4555F","description":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9515","description":"PT DID NOT RQR RTN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1110F","description":"PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9296","description":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9531","description":"PT DOC VENT SHUNT MXSYS TR/CURR TAKING AP MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9445","description":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9445","description":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9446","description":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9446","description":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4268F","description":"PT ED RE NEED LONG TERM COMPRESS THXPY RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4305F","description":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4305F","description":"PT EDUC FOOT CARE AND DAILY INSPCTN FEET RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4003F","description":"PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9298","description":"PT EVAL VTE CV RISK FACTOR W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1100F","description":"PT FALLS ASSESS DOCD 2 OR GT FALLS/FALL W/INJURY/YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1101F","description":"PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9519","description":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9519","description":"PT FINAL REFR Plus /- 1.0 D REFR W/I 90 DAYS SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9659","description":"PT GT 85 YRS NO HX COLORECTAL CA/MED RSN COLONOSCOP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 10TH and 13TH BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9414","description":"PT HAD 1 DOSE MC VAC ON/BETWN PT 11TH and 13TH BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9247","description":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH and 13TH BD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9762","description":"PT HAD 2 HPV/3 HPV VACC ON/BTWN PT 9TH and 13TH BD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9691","description":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD INR MEASUREMENT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3555F","description":"PT HAD INR MEASUREMENT PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3753F","description":"PT HAS CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3753F","description":"PT HAS CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9595","description":"PT HAS DOC VENTRICULAR SHUNT BT/COAGULOPATHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9746","description":"PT HAS MS/PROS HEART VLV/PT TSNT/R CAUSE OF AF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3756F","description":"PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3756F","description":"PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT DUR/6MO PRI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9908","description":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOB USER RECV TOB CESSATION INTERVENTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9906","description":"PT ID TOB USER RECV TOB CESSATION INTERVENTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9906","description":"PT ID TOBAC USER RECV TOB CESS INTRV DUR/6MO PRI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9758","description":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INFORMATION ENTERED INTO RECALL SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"7010F","description":"PT INFORMATION ENTERED INTO RECALL SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 DID NOT ACHV REMISSION 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9395","description":"PT INIT PHQ-9 SC GT 9 DID NOT ACHV REMISSION 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 NOT ASSESSED RM AT 12 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9396","description":"PT INIT PHQ-9 SC GT 9 NOT ASSESSED RM AT 12 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC LT 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9393","description":"PT INIT PHQ-9 SC GT 9 RM 12 MO D 12 MO PHQ-9 SC LT 5","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD BY EVAL CLINICIAN LT DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD BY EVAL CLINICIAN LT DATE DIAG MDD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT INTRVWD ON/BEFORE DATE DIAG MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2060F","description":"PT INTRVWD ON/BEFORE DATE DIAG MDD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9719","description":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9529","description":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9533","description":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NO 1 DOSE MC VAC ON/BTW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9246","description":"PT NO 2 ELIG/1 ELIG ENC and 1 HIV VL TST AL 90 D APT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO ABD IMAG AND NOT DOC RSN NO ABD IMAG SBMS P","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9457","description":"PT NO ABD IMAG AND NOT DOC RSN NO ABD IMAG SBMS P","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO EXHIBIT 3 Plus RISK FACTORS POST-OP NAUSEA/VOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4557F","description":"PT NO EXHIBIT 3 Plus RISK FACTORS POST-OP NAUSEA/VOM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXHIBIT 3 Plus RISK FACTORS POST-OP NAUSEA/VOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4557F","description":"PT NO EXHIBIT 3 Plus RISK FACTORS POST-OP NAUSEA/VOM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9520","description":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9520","description":"PT NO F REFR Plus /- 1.0 DIO REFR W/I 90 D SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8567","description":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8567","description":"PT NO VERIFICATION AND DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9415","description":"PT NOT 1 DOSE MENC VAC ON/BETW PT 11TH and 13TH BDAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9246","description":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9517","description":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9411","description":"PT NOT ADM WI 180 D PST CIED W/INF RQR DVC RMV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9413","description":"PT NOT ADM WI 180 DAYS POST CIED W/INF DEVC REMV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT CURR STATIN TX USERS/NO ORDER STATIN TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9665","description":"PT NOT CURR STATIN TX USERS/NO ORDER STATIN TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9299","description":"PT NOT EVAL VTE CV RISK W/I 30 DAY PRIOR PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9622","description":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9382","description":"PT NOT OFR ASST EOL ISS/EX PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3573F","description":"PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9777","description":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4169F","description":"PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4196F","description":"PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6150F","description":"PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3750F","description":"PT NOT RCVNG CORTICOSTERIDS GT or equal to 10MG/DAY 60 OR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4301F","description":"PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9468","description":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9468","description":"PT NOT REC CS GT or equal to TO 10 MG/D PRD EQ 60/GT CON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9470","description":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9470","description":"PT NOT RECV CS GT or equal to 10 MG/D PDN EQ 60/GT CONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9624","description":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METHD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9630","description":"PT NOT SUSTN BOWL INJ SRG/DISC TO 30 D POST SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0582F","description":"PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0582F","description":"PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OFFERED ASSISTANCE PLANNING END LIFE ISSUES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4553F","description":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OFFERED ASSISTANCE PLANNING END LIFE ISSUES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4553F","description":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4552F","description":"PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4552F","description":"PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9380","description":"PT OFR ASST EOL ISS/EX EOL PLN REV/UPD MSR PRD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3572F","description":"PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9594","description":"PT PRES MIN BLUNT HEAD TR AND HEAD CT ORDER TR ECP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9530","description":"PT PRESNT W/MIN BLUNT HEAD TRAUMA CT ORD BY ECP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"PT PSCR/DIS ABX DOC M RSN WI 3 D AFT INT DX URI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4324F","description":"PT QUERIED PARKINSONS MED-RELATED COMPLICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1502F","description":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1502F","description":"PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1503F","description":"PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1503F","description":"PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4558F","description":"PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4558F","description":"PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4168F","description":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4168F","description":"PT RCVG CARE ICU and RCVNG MECH VENT 24 HRS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4195F","description":"PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4481F","description":"PT RCVNG ACE/ARB AND BETA BLOCKER LT 3 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4480F","description":"PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4271F","description":"PT RCVNG POT ANTI R-VIRAL THX LT 6 MON/NOT RCVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4270F","description":"PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4300F","description":"PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4554F","description":"PT RECEIVED INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9775","description":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9964","description":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8956","description":"PT RECV MAINT HEMODIALYSIS IN O/P DIALYSIS FAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4563F","description":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4563F","description":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4067F","description":"PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANR PROV/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9968","description":"PT REFERRED ANR PROV/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9514","description":"PT RQR A RETURN TO THE OR W/I 90 DAYS OF SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3759F","description":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DYSPHAGIA WT LOSS IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3759F","description":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4293F","description":"PT SCRND HGH-RSK SEXUAL BEHAVIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4004F","description":"PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3016F","description":"PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4556F","description":"PT SHOWS 3 PLUS RISK FACTORS POST-OP NAUSEA AND VOMITING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9625","description":"PT SUSTAIN BLAD INJ SRG/DSCV SUBSQ UP 30 DAY P S","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9628","description":"PT SUSTN BOWEL INJ SURG/DISC SUBSEQ 30D PST SRG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4245F","description":"PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9656","description":"PT TRANS DIRECT F ANES LOC TO PACE/OTH N-ICU LOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":null,"billing_code":"0581F","description":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9764","description":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9766","description":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9737","description":"PT UN COMPL ELBO/WRST/H FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9735","description":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9731","description":"PT UNABLE COMPL ANK/FT FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9733","description":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9727","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9729","description":"PT UNABLE COMPLETE LEPF PROM INI EVAL and / D/C","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9455","description":"PT UNDRWNT ABD IMAG U/S CE CT/CONT MRI FOR HCC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1417","description":"PT UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1417","description":"PT UP TO DATE COVID-19 VAC DEFIN CDC CUR VAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3760F","description":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3760F","description":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9675","description":"PT WHO HAVE HAD F/DIR LAB RSLT LDL-C Equal to 190 MG/DL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3761F","description":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3761F","description":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216572],"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":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[216572],"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":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4326F","description":"PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4328F","description":"PT/CAREGIVER QUERIED SLEEP DISTURBANCES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93792","description":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93792","description":"PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"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":null,"billing_code":"G9910","description":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9910","description":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9897","description":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3758F","description":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3758F","description":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9473","description":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3038F","description":"PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY REHABILITATION RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4033F","description":"PULMONARY REHABILITATION RECOMMENDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94618","description":"PULMONARY STRESS TESTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULP CAP - DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3110","description":"PULP CAP - DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3110","description":"PULP CAP - DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D3120","description":"PULP CAP - INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0460","description":"PULP VITALITY TESTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEBRIDEMENT PRIMARY AND PERMANENT TEETH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3221","description":"PULPAL DEBRIDEMENT PRIMARY AND PERMANENT TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEBRIDEMENT PRIMARY AND PERMANENT TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3221","description":"PULPAL DEBRIDEMENT PRIMARY AND PERMANENT TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REGENERATION - COMPLETION OF TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3357","description":"PULPAL REGENERATION - COMPLETION OF TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REGENERATION - COMPLETION OF TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3357","description":"PULPAL REGENERATION - COMPLETION OF TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REGENERATION - INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3355","description":"PULPAL REGENERATION - INITIAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REGENERATION - INITIAL VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3355","description":"PULPAL REGENERATION - INITIAL VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REGENERATION - INTERIM MEDICATION REPLACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3356","description":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REGENERATION - INTERIM MEDICATION REPLACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3356","description":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D3230","description":"PULPAL THERAPY - ANTERIOR PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - POSTERIOR PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3240","description":"PULPAL THERAPY - POSTERIOR PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - POSTERIOR PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3240","description":"PULPAL THERAPY - POSTERIOR PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11105","description":"PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15776","description":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15776","description":"PUNCH GRAFT HAIR TRANSPLANT GT 15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.3875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.3875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15775","description":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15775","description":"PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.92,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.19,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.4195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64463","description":"PVB THORACIC CONT CATHETER INFUSION W/IMG GID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.4195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.4195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND and ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64462","description":"PVB THORACIC SECOND and ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SECOND and ADDL INJ SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64462","description":"PVB THORACIC SECOND and ADDL INJ SITE W/IMG GID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64461","description":"PVB THORACIC SINGLE INJECTION SITE W/IMG GID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO and Equal to 300","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO and Equal to 300","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO and Equal to 300","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 removal","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2955","description":"Post removal","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 removal","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2955","description":"Post removal","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6950","description":"Precision attachment","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6950","description":"Precision attachment","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 resin crown","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2932","description":"Prefabricated resin crown","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 resin crown","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2932","description":"Prefabricated resin crown","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M0076","description":"Prolotherapy","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2629","description":"Prosthetic eye other type","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1460F","description":"QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3394F","description":"QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3395F","description":"QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3115F","description":"QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95919","description":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[216572],"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":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95919","description":"QUANTITATIVE PUPILLOMETRY PHYS/QHP I and R UNI/BI","negotiated_rates":[{"provider_references":[216572],"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":"QUANTITATIVE US TISS CHARAC I and R W/DX US SM ANAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0690T","description":"QUANTITATIVE US TISS CHARAC I and R W/DX US SM ANAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520F","description":"RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDCS/EXP TM and NO FLUORO IMG N DOC N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDCS/EXP TM and NO FLUORO IMG N DOC N RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES DOC FNL RPT PROC FLUORO NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9501","description":"RAD EXP INDICES NOT DOC FNL RPT PROC FLU NOT GIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXP INDICES/EXP TM and NUMB FLUORO IMAGES DOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9500","description":"RAD EXP INDICES/EXP TM and NUMB FLUORO IMAGES DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6045F","description":"RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":885.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":899.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":929.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":944.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":885.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":899.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":929.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":929.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":944.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":944.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE LT 3CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":883.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":883.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE LT 5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1060.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1064.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1060.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1064.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72081","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73501","description":"RADEX HIP UNILATERAL WITH PELVIS 1 VIEW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73503","description":"RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73523","description":"RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIAL KERATOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65771","description":"RADIAL KERATOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5983","description":"RADIATION CARRIER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5985","description":"RADIATION CONE LOCATOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5984","description":"RADIATION SHIELD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7490","description":"RADICAL RESECTION OF MAXILLA OR MANDIBLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":826.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":826.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RADIOELEMENTS FOR BRACHYTHERAPY ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3001","description":"RADIOELEMENTS FOR BRACHYTHERAPY ANY TYPE EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D6190","description":"RADIOGRAPHIC SURGICAL IMPLANT INDEX BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D6190","description":"RADIOGRAPHIC/SURGICAL IMPLANT INDEX BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71047","description":"RADIOLOGIC EXAM CHEST 3 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71048","description":"RADIOLOGIC EXAM CHEST 4 PLUS VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4641","description":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9699","description":"RADIOPHARMACEUTICAL THERAPEUTIC NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0350T","description":"RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0348T","description":"RADIOSTEREOMETRIC ANALYSIS SPINE EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0349T","description":"RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0336U","description":"RARE DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0336U","description":"RARE DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0335U","description":"RARE DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0335U","description":"RARE DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9841","description":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9843","description":"RAS GENE MUTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6005F","description":"RATIONALE FOR LEVEL OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96933","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY 1ST LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96936","description":"RCM CELL and SUBCELL IMG SKN I and R ONLY EA ADDL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96934","description":"RCM CELL and SUBCELL IMG SKN IMG ACQ I and R EACH ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96932","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY 1ST LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96935","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUIJ ONLY EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96931","description":"RCM CELL and SUBCELL IMG SKN IMG ACQUISJ and I and R 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR AND SUBCELULR SKN IMGNG I AND R 1ST LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96933","description":"RCM CELULR AND SUBCELULR SKN IMGNG I AND R 1ST LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR AND SUBCELULR SKN IMGNG I AND R EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96936","description":"RCM CELULR AND SUBCELULR SKN IMGNG I AND R EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQ EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96935","description":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQ EA ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQ I AND R 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96931","description":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQ I AND R 1ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":108.4861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQ I AND R ADD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96934","description":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQ I AND R ADD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQUISITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96932","description":"RCM CELULR AND SUBCELULR SKN IMGNG IMG ACQUISITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":85.1055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528F","description":"RCMND FLLW-UP 2ND CLNSCPY 10 OR GT YRS DOCD RPRT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":732.4684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":732.4684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":911.0964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":911.0964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":732.4684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":732.4684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":911.0964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":911.0964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":532.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":532.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.7071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.7071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.4628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":532.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":532.1198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":685.7071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":685.7071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EVALUATION - LIMITED PROBLEM FOCUSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0170","description":"RE-EVALUATION - LIMITED PROBLEM FOCUSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - LIMITED PROBLEM FOCUSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0170","description":"RE-EVALUATION - LIMITED PROBLEM FOCUSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0171","description":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8578","description":"RE-EXPL NOT REQ MLN BLD CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"RE-EXPL REQ MLN BLD UNPL CA INT VD/OTH CARD RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9281","description":"REACHING/GRABBING DEVICE ANY TYPE ANY LENGTH EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE CUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2921","description":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE CUSP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE/CUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2921","description":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE/CUSP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE/CUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2921","description":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE/CUSP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5711","description":"REBASE COMPLETE MANDIBULAR DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5710","description":"REBASE COMPLETE MAXILLARY DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5721","description":"REBASE MANDIBULAR PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5720","description":"REBASE MAXILLARY PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9497","description":"RECEIVED INSTR ANES/PROXY ABSTAIN SMOKING DAY SX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MON; EXT INTERSTITIAL CONT GLU MON SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9278","description":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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; EXT USE NONDME INTRSTL SYSTEM CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9278","description":"RECEIVER; EXT USE NONDME INTRSTL SYSTEM CGM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S1037","description":"RECEIVER; EXTERNAL USE W/ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT CAST OR PREFABRICATED POST AND CORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2915","description":"RECEMENT CAST OR PREFABRICATED POST AND CORE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT CAST OR PREFABRICATED POST AND CORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2915","description":"RECEMENT CAST OR PREFABRICATED POST AND CORE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2920","description":"RECEMENT CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2920","description":"RECEMENT CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT FIXED PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6930","description":"RECEMENT FIXED PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT FIXED PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6930","description":"RECEMENT FIXED PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPL ABUTMNT SUPPORTED FIX PART DENTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6093","description":"RECEMENT IMPL ABUTMNT SUPPORTED FIX PART DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART DENTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6093","description":"RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6093","description":"RECEMENT IMPL/ABUTMNT SUPPORTED FIX PART DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPLANT ABUTMENT SUPPORTED CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6092","description":"RECEMENT IMPLANT ABUTMENT SUPPORTED CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6092","description":"RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6092","description":"RECEMENT IMPLANT/ABUTMENT SUPPORTED CROWN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT INLAY ONLAY PART COVERAGE RESTORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2910","description":"RECEMENT INLAY ONLAY PART COVERAGE RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2910","description":"RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2910","description":"RECEMENT INLAY ONLAY/PART COVERAGE RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0288","description":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0288","description":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":882.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":896.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":927.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":941.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":882.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.91,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":896.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":927.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":941.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OSSEOUS TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7485","description":"REDUCTION OF OSSEOUS TUBEROSITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OSSEOUS TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7485","description":"REDUCTION OF OSSEOUS TUBEROSITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8858","description":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8856","description":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4051F","description":"REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4500F","description":"REFERRED TO OUTPT CARD REHABILITATION PROGRAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGIONAL BLOCK ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9211","description":"REGIONAL BLOCK ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4400F","description":"REHAB THERAPY OPTIONS DISCUSSED W/PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2001","description":"REHABILITATION PROGRAM PER 1/2 DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":652.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.66,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":652.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MANDIBULAR DENTRUE LABORATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5751","description":"RELINE COMPLETE MANDIBULAR DENTRUE LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHAIRSIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5731","description":"RELINE COMPLETE MANDIBULAR DENTURE CHAIRSIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5731","description":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5751","description":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHAIRSIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5730","description":"RELINE COMPLETE MAXILLARY DENTURE CHAIRSIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5730","description":"RELINE COMPLETE MAXILLARY DENTURE DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5750","description":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LABORATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5750","description":"RELINE COMPLETE MAXILLARY DENTURE LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHAIRSIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5741","description":"RELINE MANDIBULAR PARTIAL DENTURE CHAIRSIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5741","description":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5761","description":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LABORATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5761","description":"RELINE MANDIBULAR PARTIAL DENTURE LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHAIRSIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5740","description":"RELINE MAXILLARY PARTIAL DENTURE CHAIRSIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5740","description":"RELINE MAXILLARY PARTIAL DENTURE DIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5760","description":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LABORATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5760","description":"RELINE MAXILLARY PARTIAL DENTURE LABORATORY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0416T","description":"RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0740T","description":"REM AUTON ALG INSULIN DOSE 1ST SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0741T","description":"REM AUTON ALG NSLN DOS CAL SW DATA COLL TRANSMIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ICPMS LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93297","description":"REM INTERROG ICPMS LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93297","description":"REM INTERROG ICPMS LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR DEV SPLY DATA COG BHV THER EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98978","description":"REM THER MNTR DEV SPLY DATA COG BHV THER EA 30 D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9482","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9482","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 20 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9483","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9483","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 30 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9484","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9484","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 45 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9485","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9485","description":"REMOTE IN-HOME VISIT FOR E/M OF NEW PT;TYP 60 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9486","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9486","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 10 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9487","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9487","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 15 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9488","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9488","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 25 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9489","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9489","description":"REMOTE IN-HOME VST FOR E/M OF ESTAB PT;TYP 40 MN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9481","description":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9481","description":"REMOTE IN-HOME VST FOR E/M OF NEW PT;TYP 10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99458","description":"REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE THERAPEUTIC MNTR 1ST SET-UP and PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98975","description":"REMOTE THERAPEUTIC MNTR 1ST SET-UP and PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D8210","description":"REMOVABLE APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BEN NONODONTOGENIC CYST TUMOR OVER 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7461","description":"REMOVAL BEN NONODONTOGENIC CYST TUMOR OVER 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN NONODONTOGENIC CYST TUMR- UP 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7460","description":"REMOVAL BEN NONODONTOGENIC CYST TUMR- UP 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN NONODONTOGENIC CYST/TUMOR GT 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7461","description":"REMOVAL BEN NONODONTOGENIC CYST/TUMOR GT 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN NONODONTOGENIC CYST/TUMOR GT 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7461","description":"REMOVAL BEN NONODONTOGENIC CYST/TUMOR GT 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7460","description":"REMOVAL BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7460","description":"REMOVAL BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN ODONTOGENIC CYST TUMR- UP T0 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7450","description":"REMOVAL BEN ODONTOGENIC CYST TUMR- UP T0 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN ODONTOGENIC CYST/TUMR- UP T0 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7450","description":"REMOVAL BEN ODONTOGENIC CYST/TUMR- UP T0 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BEN ODONTOGENIC CYST/TUMR- UP T0 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7450","description":"REMOVAL BEN ODONTOGENIC CYST/TUMR- UP T0 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN ODONTOGENIC CYST TUMOR- OVER 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7451","description":"REMOVAL BENIGN ODONTOGENIC CYST TUMOR- OVER 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN ODONTOGENIC CYST/TUMOR- GT 1.25 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7451","description":"REMOVAL BENIGN ODONTOGENIC CYST/TUMOR- GT 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BENIGN ODONTOGENIC CYST/TUMOR- GT 1.25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7451","description":"REMOVAL BENIGN ODONTOGENIC CYST/TUMOR- GT 1.25 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":302.0777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":302.0777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47537","description":"REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":302.0777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":302.0777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DUCT and /GLBLDR CALCULI PERQ RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47544","description":"REMOVAL BILIARY DUCT and /GLBLDR CALCULI PERQ RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.6694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.6694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BILIARY DUCT and /GLBLDR CALCULI PERQ RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47544","description":"REMOVAL BILIARY DUCT and /GLBLDR CALCULI PERQ RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.6694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.6694,"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":null,"billing_code":"0412T","description":"REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0413T","description":"REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL DEEP DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20701","description":"REMOVAL DEEP DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43285","description":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43285","description":"REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.01,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FB FROM MUCOSA SKIN SUBCUT ALVEOL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7530","description":"REMOVAL FB FROM MUCOSA SKIN SUBCUT ALVEOL TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7530","description":"REMOVAL FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7530","description":"REMOVAL FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20705","description":"REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20703","description":"REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0517","description":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0517","description":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":131.8668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7240","description":"REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPACTED TOOTH - COMPLETELY BONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7240","description":"REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPACTED TOOTH - PARTIALLY BONY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7230","description":"REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPACTED TOOTH - PARTIALLY BONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7230","description":"REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPACTED TOOTH - SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7220","description":"REMOVAL OF IMPACTED TOOTH - SOFT TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPACTED TOOTH - SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7220","description":"REMOVAL OF IMPACTED TOOTH - SOFT TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LATERAL EXOSTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7471","description":"REMOVAL OF LATERAL EXOSTOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LATERAL EXOSTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7471","description":"REMOVAL OF LATERAL EXOSTOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESIDUAL TOOTH ROOTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7250","description":"REMOVAL OF RESIDUAL TOOTH ROOTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RESIDUAL TOOTH ROOTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7250","description":"REMOVAL OF RESIDUAL TOOTH ROOTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7473","description":"REMOVAL OF TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7473","description":"REMOVAL OF TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7472","description":"REMOVAL OF TORUS PALATINUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7472","description":"REMOVAL OF TORUS PALATINUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SK TGS MLT FIBRQ TAGS ANY AREA EA 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15854","description":"REMOVAL SUTURES and STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15853","description":"REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0268","description":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0268","description":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV IMP TOOTH - CMPL BONY W UNUSUAL SURG COMPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7241","description":"REMV IMP TOOTH - CMPL BONY W UNUSUAL SURG COMPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7241","description":"REMV IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7241","description":"REMV IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7540","description":"REMV REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7540","description":"REMV REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0518","description":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0518","description":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.8001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC/OTH RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8577","description":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC/OTH RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8578","description":"REOP NOT REQ MEDIAST BLEED GFT OCCL/OTH REASN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S2409","description":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9942","description":"REPAIR AND OR RELINE OF OCCLUSAL GUARD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9942","description":"REPAIR AND/OR RELINE OF OCCLUSAL GUARD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGN DIAPHRAGMAT HERNIA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S2400","description":"REPAIR CONGN DIAPHRAGMAT HERNIA FETUS IN UTERO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IMPLANTSUPPORTED PROSTHESIS BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6090","description":"REPAIR IMPLANTSUPPORTED PROSTHESIS BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT GT 30.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.09,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MAXLOFACIAL SOFT AND HARD TISSUE DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7955","description":"REPAIR MAXLOFACIAL SOFT AND HARD TISSUE DEFECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAXLOFACIAL SOFT and / HARD TISSUE DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7955","description":"REPAIR MAXLOFACIAL SOFT and / HARD TISSUE DEFECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAXLOFACIAL SOFT and / HARD TISSUE DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7955","description":"REPAIR MAXLOFACIAL SOFT and / HARD TISSUE DEFECT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2404","description":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NAIL BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.34,"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":null,"billing_code":"D6090","description":"REPAIR OF IMPLANT/ABUTMENT SUPPORTED PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TRAUMATIC CORPOREAL TEAR(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54437","description":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54437","description":"REPAIR OF TRAUMATIC CORPOREAL TEAR(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.5281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":361.9088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.5658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5630","description":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OR REPLACE BROKEN CLASP - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5630","description":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":609.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":609.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":654.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":654.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":609.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":609.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":654.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":654.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.27,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92370","description":"REPAIR and REFITTING SPECTACLES EXCEPT FOR APHAKIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5336","description":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ATTACHMNT IMPL ABUT SUPP PROS PER ATTACHMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6091","description":"REPL ATTACHMNT IMPL ABUT SUPP PROS PER ATTACHMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF REPL PART ATT IMPL/ABUT S PROS PER ATT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6091","description":"REPL OF REPL PART ATT IMPL/ABUT S PROS PER ATT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OF REPL PART ATT IMPL/ABUT S PROS PER ATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6091","description":"REPL OF REPL PART ATT IMPL/ABUT S PROS PER ATT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5670","description":"REPLACE ALL TEETH AND ACRYLIC CAST METAL FRMEWRK MAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5671","description":"REPLACE ALL TEETH AND ACRYLIC CAST METL FRMEWRK MAND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5640","description":"REPLACE BROKEN TEETH - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5640","description":"REPLACE BROKEN TEETH PARTIAL DENTURE PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5520","description":"REPLACE MISSING BROKEN TEETH - COMPLETE DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5520","description":"REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4638","description":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPL PART SEMI-PRCISN PRCISN ATTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5867","description":"REPLACEMENT REPL PART SEMI-PRCISN PRCISN ATTCH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPL PART SEMI-PRCISN/PRCISN PER ATT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5867","description":"REPLACEMENT REPL PART SEMI-PRCISN/PRCISN PER ATT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SCKT/INTERFACE PRTL HND FNGR MOLDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6031","description":"REPLACEMENT SCKT/INTERFACE PRTL HND FNGR MOLDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SCKT/INTERFACE PRTL HND FNGR MOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6031","description":"REPLACEMENT SCKT/INTERFACE PRTL HND FNGR MOLDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5867","description":"REPLC OF REPLC PART NAT TOOTH BORNE PROS PER ATT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4634","description":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0415T","description":"REPOS CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33273","description":"REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":247.5541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":247.5541,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.42,"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":null,"billing_code":"T2033","description":"RESIDENTIAL CARE NOS WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2033","description":"RESIDENTIAL CARE NOS WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2032","description":"RESIDENTIAL CARE NOS WAIVER; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8663","description":"RESIDUAL SC SHOULDER IMPR SUC CALCU and SC Equal to 0 O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RESIDUAL SCORE E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RESIDUAL SCORE ELBOW WRIST HAND IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR NOT MSR NO RSN GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RESIDUAL SCORE LOW BACK IMPR NOT MSR NO RSN GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC Equal to 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RESIDUAL SCORE LOW BACK IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RESIDUAL SCORE SHOULDER IMPR NOT MSR RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL SCORE SHOULDER IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RESIDUAL SCORE SHOULDER IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2394","description":"RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2394","description":"RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2990","description":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2990","description":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2391","description":"RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2391","description":"RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2393","description":"RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2393","description":"RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2392","description":"RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2392","description":"RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE 4 OR GRT SURFACES INCISAL ANGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2335","description":"RESIN-BASED COMPOSITE 4 OR GRT SURFACES INCISAL ANGLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE CROWN ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2390","description":"RESIN-BASED COMPOSITE CROWN ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE CROWN ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2390","description":"RESIN-BASED COMPOSITE CROWN ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE ONE SURFACE ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2330","description":"RESIN-BASED COMPOSITE ONE SURFACE ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE ONE SURFACE ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2330","description":"RESIN-BASED COMPOSITE ONE SURFACE ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE THREE SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2332","description":"RESIN-BASED COMPOSITE THREE SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE THREE SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2332","description":"RESIN-BASED COMPOSITE THREE SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE TWO SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2331","description":"RESIN-BASED COMPOSITE TWO SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE TWO SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2331","description":"RESIN-BASED COMPOSITE TWO SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE-4 OR GT SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2335","description":"RESIN-BASED COMPOSITE-4 OR GT SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIN-BASED COMPOSITE-4 OR GT SURFACES ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2335","description":"RESIN-BASED COMPOSITE-4 OR GT SURFACES ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":null,"billing_code":"G0501","description":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90378","description":"RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9125","description":"RESPITE CARE IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOT IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H0045","description":"RESPITE CARE SERVICES NOT IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOT IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0045","description":"RESPITE CARE SERVICES NOT IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1005","description":"RESPITE CARE SERVICES UP TO 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2949","description":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2949","description":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1016.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.43,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1016.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER - CAST METAL RESIN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6545","description":"RETAINER - CAST METAL RESIN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - CAST METAL RESIN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6545","description":"RETAINER - CAST METAL RESIN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FOR RESIN BONDED FIXED PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6549","description":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FOR RESIN BONDED FIXED PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6549","description":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELN CERAMIC RSN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6548","description":"RETAINER - PORCELN CERAMIC RSN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELN/CERAMIC RSN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6548","description":"RETAINER - PORCELN/CERAMIC RSN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELN/CERAMIC RSN BONDED FIX PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6548","description":"RETAINER - PORCELN/CERAMIC RSN BONDED FIX PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6780","description":"RETAINER CROWN - 3 4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6782","description":"RETAINER CROWN - 3 4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6783","description":"RETAINER CROWN - 3 4 PORCELAIN CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6780","description":"RETAINER CROWN - 3/4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6780","description":"RETAINER CROWN - 3/4 CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6782","description":"RETAINER CROWN - 3/4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6782","description":"RETAINER CROWN - 3/4 CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6783","description":"RETAINER CROWN - 3/4 PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6783","description":"RETAINER CROWN - 3/4 PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6790","description":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6790","description":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6792","description":"RETAINER CROWN - FULL CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - FULL CAST NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6792","description":"RETAINER CROWN - FULL CAST NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - INDIRECT RESIN BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6710","description":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - INDIRECT RESIN BASED COMPOSITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6710","description":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6740","description":"RETAINER CROWN - PORCELAIN CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN FUSED HI NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6750","description":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN FUSED HI NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6750","description":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN FUSED TO NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6752","description":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN FUSED TO NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6752","description":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6740","description":"RETAINER CROWN - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PORCELAIN/CERAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6740","description":"RETAINER CROWN - PORCELAIN/CERAMIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6720","description":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH HIGH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6720","description":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6722","description":"RETAINER CROWN - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - RESIN WITH NOBLE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6722","description":"RETAINER CROWN - RESIN WITH NOBLE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6794","description":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - TITANIUM AND TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6794","description":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6781","description":"RETAINER CROWN-3 4 CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6781","description":"RETAINER CROWN-3/4 CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CAST PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6781","description":"RETAINER CROWN-3/4 CAST PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-FULL CAST PREDOMINANTLY BASE METL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6791","description":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-FULL CAST PREDOMINANTLY BASE METL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6791","description":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-PORCELAIN FUSED PDMT BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6751","description":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-PORCELAIN FUSED PDMT BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6751","description":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-RESIN W PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6721","description":"RETAINER CROWN-RESIN W PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-RESIN W/PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6721","description":"RETAINER CROWN-RESIN W/PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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-RESIN W/PREDOMINANTLY BASE METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6721","description":"RETAINER CROWN-RESIN W/PREDOMINANTLY BASE METAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST NOBLE METAL 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6607","description":"RETAINER INLAY - CAST NOBLE METAL 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6607","description":"RETAINER INLAY - CAST NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6607","description":"RETAINER INLAY - CAST NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST NOBLE METAL TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6606","description":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST NOBLE METAL TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6606","description":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST PDMT BASE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6604","description":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - CAST PDMT BASE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6604","description":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - PORCELAIN CERAMIC 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6601","description":"RETAINER INLAY - PORCELAIN CERAMIC 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - PORCELAIN CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6600","description":"RETAINER INLAY - PORCELAIN CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - PORCELAIN/CERAMIC 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6601","description":"RETAINER INLAY - PORCELAIN/CERAMIC 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - PORCELAIN/CERAMIC 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6601","description":"RETAINER INLAY - PORCELAIN/CERAMIC 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - PORCELAIN/CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6600","description":"RETAINER INLAY - PORCELAIN/CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - PORCELAIN/CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6600","description":"RETAINER INLAY - PORCELAIN/CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - TITANIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6624","description":"RETAINER INLAY - TITANIUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY - TITANIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6624","description":"RETAINER INLAY - TITANIUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST HIGH NOBLE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6602","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST HIGH NOBLE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6602","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST HIGH NOBLE METAL 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6603","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST HIGH NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6603","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST HIGH NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6603","description":"RETAINER INLAY-CAST HIGH NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST PDMT BASE METAL 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6605","description":"RETAINER INLAY-CAST PDMT BASE METAL 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST PDMT BASE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6605","description":"RETAINER INLAY-CAST PDMT BASE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INLAY-CAST PDMT BASE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6605","description":"RETAINER INLAY-CAST PDMT BASE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - CAST NOBLE METAL TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6614","description":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - CAST NOBLE METAL TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6614","description":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - PORCELAIN CERAMIC 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6609","description":"RETAINER ONLAY - PORCELAIN CERAMIC 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - PORCELAIN CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6608","description":"RETAINER ONLAY - PORCELAIN CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - PORCELAIN/CERAMIC 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6609","description":"RETAINER ONLAY - PORCELAIN/CERAMIC 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - PORCELAIN/CERAMIC 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6609","description":"RETAINER ONLAY - PORCELAIN/CERAMIC 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - PORCELAIN/CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6608","description":"RETAINER ONLAY - PORCELAIN/CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - PORCELAIN/CERAMIC TWO SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6608","description":"RETAINER ONLAY - PORCELAIN/CERAMIC TWO SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - TITANIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6634","description":"RETAINER ONLAY - TITANIUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY - TITANIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6634","description":"RETAINER ONLAY - TITANIUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST HIGH NOBLE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6610","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST HIGH NOBLE METAL 2 SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6610","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST HIGH NOBLE METAL 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6611","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST HIGH NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6611","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST HIGH NOBLE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6611","description":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST NOBLE METAL 3 MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6615","description":"RETAINER ONLAY-CAST NOBLE METAL 3 MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST NOBLE METAL 3/MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6615","description":"RETAINER ONLAY-CAST NOBLE METAL 3/MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST NOBLE METAL 3/MORE SURFACES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6615","description":"RETAINER ONLAY-CAST NOBLE METAL 3/MORE SURFACES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST PDMT BASE METAL 3 MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6613","description":"RETAINER ONLAY-CAST PDMT BASE METAL 3 MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST PDMT BASE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6613","description":"RETAINER ONLAY-CAST PDMT BASE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ONLAY-CAST PDMT BASE METAL 3/MORE SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6613","description":"RETAINER ONLAY-CAST PDMT BASE METAL 3/MORE SURF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3347","description":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3347","description":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT PREVIOUS RC THERAPY - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3346","description":"RETREATMENT PREVIOUS RC THERAPY - ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT PREVIOUS RC THERAPY - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3346","description":"RETREATMENT PREVIOUS RC THERAPY - ANTERIOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3348","description":"RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3348","description":"RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROGRADE FILLING - PER ROOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3430","description":"RETROGRADE FILLING - PER ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETROGRADE FILLING - PER ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3430","description":"RETROGRADE FILLING - PER ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.36,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITALON PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4157","description":"REVITALON PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITALON PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4157","description":"REVITALON PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISC ARTHROPLASTY ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1029.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1029.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1208.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1208.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1522.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1522.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.9317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.9317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22862","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1229.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1229.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1519.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1519.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1029.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1029.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1208.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1208.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1522.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1522.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.9317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.9317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1029.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1029.0049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1208.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1208.5214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1522.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1522.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.9317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.9317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22862","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1229.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1229.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1519.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1519.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22862","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1229.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1229.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1519.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1519.9046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3472F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3470F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3471F","description":"RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90386","description":"RHO(D) IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8670","description":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8662","description":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8666","description":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8668","description":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE GT or equal to","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC Equal to 0 / GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC Equal to 0 / GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE Equal to 0 / GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE Equal to 0 / GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE Equal to 0 OR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE Equal to 0 OR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RISK-ADJ FUNCT STATUS HIP NOT MEAS RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RISK-ADJ FUNCT STATUS KNEE NOT MEAS RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8664","description":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE Equal to 0/ GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8663","description":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE Equal to 0/ GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RISK-ADJ FXN STAT CH RSD SC FT/ANK IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8660","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8659","description":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC Equal to 0 OR G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0630","description":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0414T","description":"RMVL AND RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NFLTBL PENILE PROSTH INFECTED FIEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54411","description":"RMVL AND RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":634.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":634.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54411","description":"RMVL AND RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":634.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":634.5035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT PENILE PROSTHESIS INFECTED FIELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54417","description":"RMVL AND RPLCMT PENILE PROSTHESIS INFECTED FIELD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL AND RPLCMT PENILE PROSTHESIS INFECTED FIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54417","description":"RMVL AND RPLCMT PENILE PROSTHESIS INFECTED FIELD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.4283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.4659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1364.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1364.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":939.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":939.2467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0447T","description":"RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0447T","description":"RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0448T","description":"RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":3961.6139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3961.6139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0448T","description":"RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":3961.6139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3961.6139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33272","description":"RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11201","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY EA ADDL 10","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1364.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1364.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":939.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":939.2467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.3825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.4152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1364.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1364.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.5511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":939.2467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":939.2467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":761.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":761.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":829.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":829.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":761.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":761.3902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":829.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":829.4278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3265F","description":"RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROOT AMPUTATION - PER ROOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3450","description":"ROOT AMPUTATION - PER ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROOT AMPUTATION - PER ROOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3450","description":"ROOT AMPUTATION - PER ROOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BY PHYS OF DIABETIC PT W/LOPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0247","description":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0247","description":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"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":null,"billing_code":"S0390","description":"ROUTINE FOOT CARE; PER VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OB CARE VAG DLVRY AND POSTPARTUM CARE VB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59610","description":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1576.7429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1576.7429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59610","description":"ROUTINE OB CARE VAG DLVRY AND POSTPARTUM CARE VB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1576.7429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1576.7429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59618","description":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1689.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1689.8818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59618","description":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1689.8818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1689.8818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99458","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99458","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO EA ADDL 20","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.8681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.1069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.1069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.0056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.1069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.1069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":268.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":268.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT LT 6 MO RDC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":202.4529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.7292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":268.8305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":268.8305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":563.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":563.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":607.8029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":607.8029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":563.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":563.1459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":607.8029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":607.8029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92371","description":"RPR AND REFITG SPECTACLE PROSTHESIS APHAKIA","negotiated_rates":[{"provider_references":[216572],"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":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92370","description":"RPR AND REFITG SPECTACLES EXCEPT APHAKIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2472.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2472.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2721.9729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2721.9729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3061.3896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3061.3896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2472.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2472.3146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2721.9729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2721.9729,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":294.3154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3061.3896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3061.3896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.2487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.2487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.2487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.2487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.4875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.2501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":609.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":609.9071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":654.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":654.5641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":426.6264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":471.2834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.51,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8667","description":"RS ELBOW WRIST/HAND IMPR SUC CALC and SCORE Equal to 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8654","description":"RS HIP IMPAIRMENT NOT MEASURED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUC CALCULATED and SCORE Equal to 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8651","description":"RS HIP IMPAIRMENT SUC CALCULATED and SCORE Equal to 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS HIP IMPAIRMENT SUCCESSFULLY CAL and SCORE LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8652","description":"RS HIP IMPAIRMENT SUCCESSFULLY CAL and SCORE LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8650","description":"RS KNEE IMPAIRMENT NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CAL and SCR LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8648","description":"RS KNEE IMPR SUC CAL and SCR LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS KNEE IMPR SUC CALC and SCORE WAS Equal to 0 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8647","description":"RS KNEE IMPR SUC CALC and SCORE WAS Equal to 0 OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC and SC Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8655","description":"RS LOW LEG FOOT/ANKLE IMPR SUC CALC and SC Equal to 0 O","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC and SC LT 0","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8656","description":"RS LOWER LEG FOOT/ANKLE IMPR SUC CALC and SC LT 0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RS LW LEG FT/ANK IMPR NOT MEASURED NO RSN GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8658","description":"RSK-A FXN STS CH RSD SC FT/ANK IMPR NO MSR N RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90380","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 0.7 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90382","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 1 ML IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90381","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 1 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90381","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98975","description":"RTM 1ST SET-UP and PT EDUCAJ ON USE OF EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"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":null,"billing_code":"98978","description":"RTM DEV SPLY DATA CBT 16-30 DAYS IN 30 D PD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9555","description":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9555","description":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90680","description":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90680","description":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1160F","description":"RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 16 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0347U","description":"RX METAB/PCX DNA 16 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 16 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0347U","description":"RX METAB/PCX DNA 16 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 25 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0348U","description":"RX METAB/PCX DNA 25 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 25 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0348U","description":"RX METAB/PCX DNA 25 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 27 GEN VRNT ALYS and PHNT GEN-RX IA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0349U","description":"RX METAB/PCX DNA 27 GEN VRNT ALYS and PHNT GEN-RX IA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 27 GEN VRNT ALYS and PHNT GEN-RX IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0349U","description":"RX METAB/PCX DNA 27 GEN VRNT ALYS and PHNT GEN-RX IA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 27 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0350U","description":"RX METAB/PCX DNA 27 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PCX DNA 27 GENE VRNT ALYS and REPRTD PHNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0350U","description":"RX METAB/PCX DNA 27 GENE VRNT ALYS and REPRTD PHNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Radial keratotomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65771","description":"Radial keratotomy","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5985","description":"Radiation cone locator","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5984","description":"Radiation shield","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9211","description":"Regional block anesthesia","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9926","description":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9923","description":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9925","description":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6102F","description":"SAFETY COUNSELING DEMENTIA ORDERED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY COUNSELING DEMENTIA PROVIDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6101F","description":"SAFETY COUNSELING DEMENTIA PROVIDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EYEGLASS FRAMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0516","description":"SAFETY EYEGLASS FRAMES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9985","description":"SALES TAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9999","description":"SALES TAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3650","description":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S3652","description":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9604","description":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0140","description":"SAQUINAVIR 200 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 10MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91319","description":"SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.48,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.68,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99310","description":"SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99308","description":"SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.82,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.82,"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":null,"billing_code":"0445T","description":"SBSQ PLMT DRUG ELUTING OCULAR INSERT UNI/BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"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":null,"billing_code":"G0175","description":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1018","description":"SCHOOL-BASED IND EDUCATION PROGRAM SERV BUNDLED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8080","description":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0515","description":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0289","description":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0289","description":"SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8431","description":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8431","description":"SCR CLIN DEPR DOC POS and F/U PLAN IS DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0124","description":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0124","description":"SCR CYTOPATH CERV/VAG THIN LAY PREP INTEPR PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0141","description":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0141","description":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9900","description":"SCR DX F DGTL/DBT MAMMO RSLT NOT DOC and REV RSN NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FILM DIGITAL/DBT MAMMO RESULTS DOC and REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9899","description":"SCR DX FILM DIGITAL/DBT MAMMO RESULTS DOC and REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9386","description":"SCR HCV INF NOT RECV W/I 12 MO PR RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P3001","description":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P3001","description":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","negotiated_rates":[{"provider_references":[216572],"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":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8511","description":"SCREEN DEPR DOC POS F/U PLN NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PAP SMEAR; OBTAIN PREP AND C ONVEY TO LAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0091","description":"SCREEN PAP SMEAR; OBTAIN PREP AND C ONVEY TO LAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PAP SMEAR; OBTAIN PREP AND C ONVEY TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0091","description":"SCREEN PAP SMEAR; OBTAIN PREP AND C ONVEY TO LAB","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9281","description":"SCREEN PERFORM DOC VACC NOT INDICATED/PT REFUSAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8510","description":"SCREENING DEPRESSION DOC NEG A F/U PLAN NOT RQR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8433","description":"SCREENING FOR DEPR NOT COMPL DOCUMENTED REASON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING FOR DEPRESSION PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3725F","description":"SCREENING FOR DEPRESSION PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3014F","description":"SCREENING MAMMOGRAPHY RESULTS DOC AND REV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OF A PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0190","description":"SCREENING OF A PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9919","description":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9919","description":"SCREENING PERF AND POS AND PROVISION RECOMMENDATIONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING PERFORMED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9920","description":"SCREENING PERFORMED AND NEGATIVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0601","description":"SCREENING PROCTOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCTOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0601","description":"SCREENING PROCTOSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[216572],"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":"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":[216572],"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":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1351","description":"SEALANT - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1351","description":"SEALANT - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D1353","description":"SEALANT REPAIR - PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9344","description":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9341","description":"SEARCH PRIOR CT EXT HC FAC/ENT 12-MO PRI TO IMAG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECOND STAGE IMPLANT SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6011","description":"SECOND STAGE IMPLANT SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13160","description":"SECONDARY CLOSURE SURG WOUND/DEHSN XTNSV/COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEIZURE TYPE FREQUENCY DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1200F","description":"SEIZURE TYPE FREQUENCY DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE EDUCATION PROVIDED TO PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4450F","description":"SELF-CARE EDUCATION PROVIDED TO PATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5095","description":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S1035","description":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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;INVSV DISP INTRSTL CONT GLU MON SYS 1U Equal to 1D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9276","description":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U Equal to 1D","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8882","description":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4771","description":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3278F","description":"SERUM LEVELS CALCUM PHOSPH PARATHYR AND LIPID PR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S9988","description":"SERV PROVIDED AS PART OF PHASE 1 CLINICAL TRIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2024","description":"SERVICE ASSESSMENT/PLAN CARE DEVELOPMENT WAIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0152","description":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0158","description":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0151","description":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0161","description":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9901","description":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0160","description":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9990","description":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9991","description":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99053","description":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IN AN URGENT CARE CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9088","description":"SERVICES PROVIDED IN AN URGENT CARE CENTER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0157","description":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0159","description":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q2052","description":"SERVICES SUP and ACC USED IN HOME FOR ADM IVIG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPLIES IN HOME MEDICARE IVIG DEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q2052","description":"SERVICES SUPPLIES IN HOME MEDICARE IVIG DEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SET-UP PORTABLE X-RAY EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0092","description":"SET-UP PORTABLE X-RAY EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SET-UP PORTABLE X-RAY EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0092","description":"SET-UP PORTABLE X-RAY EQUIPMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1010F","description":"SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"H2028","description":"SEXUAL OFFENDER TREATMENT SERVICE PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2029","description":"SEXUAL OFFENDER TREATMENT SERVICE PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9297","description":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM GT 2.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.1,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.69,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4740","description":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALODOCHOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7982","description":"SIALODOCHOPLASTY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0371","description":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0310","description":"SIALOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0090","description":"SILDENAFIL CITRATE 25 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK GT 30.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2610","description":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0504","description":"SINGLE VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9152","description":"SINGLE VIT/MINERAL/TRACE ELEMENT ORAL-DOSE NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION BONE BONE SUBST LAT OPEN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7951","description":"SINUS AUGMENTATION BONE BONE SUBST LAT OPEN APPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION BONE/BONE SUBST LAT OPEN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7951","description":"SINUS AUGMENTATION BONE/BONE SUBST LAT OPEN APPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION BONE/BONE SUBST LAT OPEN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7951","description":"SINUS AUGMENTATION BONE/BONE SUBST LAT OPEN APPR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION VIA A VERTICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7952","description":"SINUS AUGMENTATION VIA A VERTICAL APPROACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUS AUGMENTATION VIA A VERTICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7952","description":"SINUS AUGMENTATION VIA A VERTICAL APPROACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9364","description":"SINUSITIS CAUSED BY/PRES CAUSED BY BACTERIAL INF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"G0496","description":"SKD SRVC LPN TRAIN and /EDU PT/FAM HH/HOSPC E 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0495","description":"SKD SRVC RN TRAIN and /EDU PT/FAM HH/HOSPC EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0493","description":"SKILLED SERVICES RN OBV AND ASMT PT COND EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0494","description":"SKILLED SRVC LPN OBS AND ASMT PT COND EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2014","description":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2014","description":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7920","description":"SKIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7920","description":"SKIN GRAFT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.42,"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":null,"billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8841","description":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8839","description":"SLEEP APNEA SYMP ASSESS PRES/ABS SNOR DAY SSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54000","description":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54000","description":"SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.5904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1031F","description":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1031F","description":"SMOKING AND 2ND HAND SMOKE IN THE HOME ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9453","description":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4995","description":"SMOKING CESSATION GUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9276","description":"SNSR;INVSV DISP USE NONDME INTRSTL CGM 1U Equal to 1D SPL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9127","description":"SOCIAL WORK VISIT IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0409","description":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0409","description":"SOCL WRK AND PSYCH SRVC EA 15 MIN FACE-TO-FACE IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9580","description":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9580","description":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2152","description":"SOLID ORGAN; TRANSPLANTATION AND RELATED COMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DEMST FEV1/FVC LT 70 PCT FEV LT 60 PCT P and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SP RSLT DEMST FEV1/FVC LT 70 PCT FEV LT 60 PCT P and","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1510","description":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UNILATERAL - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1510","description":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UNI - PER QUADRANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1520","description":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UNI - PER QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1520","description":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9285","description":"SPEC SITE OTH THAN ANAT LOC LUNG/NOT CLASS NSCLC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8723","description":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9420","description":"SPEC SITE OTH THAN LOC LUNG/NOT CLASS PRIM NSCLC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9291","description":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC/NSCLC-NOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FOR MICROORGANISMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0476","description":"SPECIAL STAINS FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FOR MICROORGANISMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0476","description":"SPECIAL STAINS FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0477","description":"SPECIAL STAINS NOT FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2027","description":"SPECIALIZED CHILDCARE WAIVER; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2026","description":"SPECIALIZED CHILDCARE WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2029","description":"SPECIALIZED MEDICAL EQUIPMENT NOS WAIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2028","description":"SPECIALIZED SUPPLY NOT OTH SPECIFIED WAIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2299","description":"SPECIALTY BIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2786","description":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2399","description":"SPECIALTY TRIFOCAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8798","description":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9295","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9430","description":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5953","description":"SPEECH AID PROSTHESIS ADULT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5960","description":"SPEECH AID PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5952","description":"SPEECH AID PROSTHESIS PEDIATRIC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V5362","description":"SPEECH SCREENING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9128","description":"SPEECH THERAPY IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4030","description":"SPERM PROCUREMENT AND CRYOPRES SERVICES; INIT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4031","description":"SPERM PROCUREMENT AND CRYOPRES SRVC; SUBSQT VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WASHING ARTIFICIAL INSEMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58323","description":"SPERM WASHING ARTIFICIAL INSEMINATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM WASHING ARTIFICIAL INSEMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58323","description":"SPERM WASHING ARTIFICIAL INSEMINATION","negotiated_rates":[{"provider_references":[216572],"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":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":356.0402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.6972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.0779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC LT 70 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8924","description":"SPIROMETRY RESULTS DOCUMENTED FEV1/FVC LT 70 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3027F","description":"SPIROMETRY TEST RESULTS FEV/FVC GT or equal to 70 PCT W/","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3025F","description":"SPIROMETRY TEST RESULTS FEV/FVC LT 70 PCT W/COPD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT SUPPLIES MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4051","description":"SPLINT SUPPLIES MISCELLANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT /1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86985","description":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15120","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT /1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.12,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15121","description":"SPLT AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.02,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.02,"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":null,"billing_code":"89257","description":"SPRM ID FROM ASPIR OTH/THN SEMINAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89264","description":"SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89261","description":"SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89260","description":"SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0155","description":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9900","description":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROVIDED OUTSIDE UNITED STATES OF AMERICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9989","description":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0153","description":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8881","description":"STAGE BREAST CANCER GREATER THAN T1N0M0/T2N0M0","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAT LABORATORY REQUEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3600","description":"STAT LABORATORY REQUEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8816","description":"STATIN MEDICATION PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8817","description":"STATIN THERAPY NOT PRESCRIBED D/C RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THERAPY RXD/CURRENTLY TAKEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4013F","description":"STATIN THERAPY RXD/CURRENTLY TAKEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0155","description":"STERILE DILUTANT FOR EPOPROSTENOL 50 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SALINE/WATER METERED DOSE DISPNS 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4218","description":"STERILE SALINE/WATER METERED DOSE DISPNS 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SALINE/WATER METERED DOSE DISPNS 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4218","description":"STERILE SALINE/WATER METERED DOSE DISPNS 10 ML","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4035","description":"STIM INTRAUTERINE INSEMINATION CASE RATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S4027","description":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89342","description":"STORAGE PER YEAR EMBRYO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89346","description":"STORAGE PER YEAR OOCYTE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89343","description":"STORAGE PER YEAR SPERM/SEMEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89344","description":"STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29540","description":"STRAPPING ANKLE and /FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29540","description":"STRAPPING ANKLE and /FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRESS BREAKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6940","description":"STRESS BREAKER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D GT or equal to 100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.3776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.3776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.3776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.3776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT SITES PR SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.7748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.7748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.5978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.5978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.5978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBS EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1128F","description":"SUBS EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBS EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1128F","description":"SUBS EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT EVALUATION CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1121F","description":"SUBSEQUENT EVALUATION CONDITION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT LT 1500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SUBSEQUENT INTENSIVE CARE INFANT LT 1500 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":227.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":227.9378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":227.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":227.9378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PRENATAL CARE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0502F","description":"SUBSEQUENT PRENATAL CARE VISIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT VISIT FOR EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526F","description":"SUBSEQUENT VISIT FOR EPISODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.3184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.3184,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3085F","description":"SUICIDE RISK ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUNGLASSES FRAMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0518","description":"SUNGLASSES FRAMES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99378","description":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99486","description":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99485","description":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99375","description":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLY NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T5999","description":"SUPPLY NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLY NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T5999","description":"SUPPLY NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2023","description":"SUPPORTED EMPLOYMENT PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H2024","description":"SUPPORTED EMPLOYMENT PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0043","description":"SUPPORTED HOUSING PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"H0044","description":"SUPPORTED HOUSING PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2041","description":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE ELECTROMYOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S3900","description":"SURFACE ELECTROMYOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6010","description":"SURG PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6010","description":"SURG PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6012","description":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6012","description":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ACCESS TO AN IMPLANT BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6011","description":"SURGICAL ACCESS TO AN IMPLANT BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ACCESS TO AN IMPLANT BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6011","description":"SURGICAL ACCESS TO AN IMPLANT BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"L3260","description":"SURGICAL BOOT/SHOE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISCECTOMY; WITH WITHOUT IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7850","description":"SURGICAL DISCECTOMY; WITH WITHOUT IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISCECTOMY; WITH/WITHOUT IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7850","description":"SURGICAL DISCECTOMY; WITH/WITHOUT IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DISCECTOMY; WITH/WITHOUT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7850","description":"SURGICAL DISCECTOMY; WITH/WITHOUT IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PATH PROSTATE NEEDLE BIOPSY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0416","description":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.4571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0416","description":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.4571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.4571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PLACEMENT OF MINI IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6013","description":"SURGICAL PLACEMENT OF MINI IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT OF MINI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6013","description":"SURGICAL PLACEMENT OF MINI IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT: EPOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6040","description":"SURGICAL PLACEMENT: EPOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT: EPOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6040","description":"SURGICAL PLACEMENT: EPOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT: TRANSOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6050","description":"SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLACEMENT: TRANSOSTEAL IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6050","description":"SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCEDURE ISOLATION TOOTH W RUBBER DAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3910","description":"SURGICAL PROCEDURE ISOLATION TOOTH W RUBBER DAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCEDURE ISOLATION TOOTH W/RUBBER DAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3910","description":"SURGICAL PROCEDURE ISOLATION TOOTH W/RUBBER DAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCEDURE ISOLATION TOOTH W/RUBBER DAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3910","description":"SURGICAL PROCEDURE ISOLATION TOOTH W/RUBBER DAM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9756","description":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9757","description":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REDUCTION OF FIBROUS TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7972","description":"SURGICAL REDUCTION OF FIBROUS TUBEROSITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REDUCTION OF FIBROUS TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7972","description":"SURGICAL REDUCTION OF FIBROUS TUBEROSITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REMOVAL OF IMPLANT BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6100","description":"SURGICAL REMOVAL OF IMPLANT BODY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPOSITIONING OF TEETH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7290","description":"SURGICAL REPOSITIONING OF TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REPOSITIONING OF TEETH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7290","description":"SURGICAL REPOSITIONING OF TEETH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REVISION PROCEDURE PER TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D4268","description":"SURGICAL REVISION PROCEDURE PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 REVISION PROCEDURE PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4268","description":"SURGICAL REVISION PROCEDURE PER TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7980","description":"SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7980","description":"SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SITE INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9312","description":"SURGICAL SITE INFECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5988","description":"SURGICAL SPLINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5982","description":"SURGICAL STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5982","description":"SURGICAL STENT FOR SOFT TISSUE HEALING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4649","description":"SURGICAL SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4550","description":"SURGICAL TRAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":919.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":919.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.78,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0226U","description":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0226U","description":"SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.28,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7910","description":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7910","description":"SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"SWIVEL ADAPTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8186","description":"SWIVEL ADAPTOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1500F","description":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1500F","description":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"9006F","description":"SYMPT CAROT STENOS IPSIL CAROT TIA/STRK LT 120DAYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0555F","description":"SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1450F","description":"SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1451F","description":"SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98013","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SF MDM 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98000","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.2,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.73,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7854","description":"SYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7854","description":"SYNOVECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.47,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.07,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.56,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC GRAFT-MANDIBLE FACIAL BONES BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7995","description":"SYNTHETIC GRAFT-MANDIBLE FACIAL BONES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7995","description":"SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7995","description":"SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.41,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.67,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS SCREENING DOCUMENTED AS DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3512F","description":"SYPHILIS SCREENING DOCUMENTED AS DONE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86592","description":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4132F","description":"SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4131F","description":"SYSTEMIC ANTIMICROBIAL TX PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9959","description":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9961","description":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4136F","description":"SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4135F","description":"SYSTEMIC CORTICOSTEROIDS PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Sialodochoplasty","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7982","description":"Sialodochoplasty","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Sialodochoplasty","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7982","description":"Sialodochoplasty","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 casting material","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4590","description":"Special casting material","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 casting material","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4590","description":"Special casting material","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 breaker","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D6940","description":"Stress breaker","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 breaker","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6940","description":"Stress breaker","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 splint","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5988","description":"Surgical splint","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 splint","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5988","description":"Surgical splint","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5982","description":"Surgical stent","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4550","description":"Surgical trays","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0014","description":"TACRINE HYDROCHLORIDE 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0422T","description":"TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.12,"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":null,"billing_code":"S0187","description":"TAMOXIFEN CITRATE ORAL 10 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4179F","description":"TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11103","description":"TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.44,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64489","description":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":259.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":259.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64489","description":"TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":259.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":259.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64487","description":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64487","description":"TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":151.0389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64486","description":"TAP BLOCK UNILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAP BLOCK UNILATERAL BY INJECTION(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64486","description":"TAP BLOCK UNILATERAL BY INJECTION(S)","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"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":null,"billing_code":"T2023","description":"TARGETED CASE MANAGEMENT; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"M1003","description":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1003","description":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3455F","description":"TB SCR PFRMD and INTRPD W/IN 6 MO INITIATION RA THER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCRNG DONE INTRPD LT 6 MOS START RA THXPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3455F","description":"TB SCRNG DONE INTRPD LT 6 MOS START RA THXPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1ST NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0766T","description":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1ST NERVE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0767T","description":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN EA ADD NRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MITRAL VALVE REPAIR ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33419","description":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.7626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.7626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33419","description":"TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.7626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.7626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33418","description":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1000.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1000.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1047.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1047.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":887.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":887.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33418","description":"TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1000.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1000.2935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1047.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1047.0548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":887.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":887.1546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61635","description":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":925.9431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":925.9431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61635","description":"TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":925.9431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":925.9431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":754.3994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":754.3994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33477","description":"TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":754.3994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":754.3994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NON-FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99368","description":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4261F","description":"TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9557","description":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9536","description":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXAMETAZIME AUTOLG WBC DX DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9569","description":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXAMETAZIME AUTOLG WBC DX DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9569","description":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXETAZIME DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9521","description":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXETAZIME DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9521","description":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9566","description":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LABELED RBC DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9560","description":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LABELED RBC DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9560","description":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAA DX STDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9540","description":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MAA DX STDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9540","description":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEBROFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9537","description":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MEBROFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9537","description":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9562","description":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9561","description":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9567","description":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9539","description":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9539","description":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERTCHNETATE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9512","description":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PERTCHNETATE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9512","description":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PYROPHOSHATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9538","description":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PYROPHOSHATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9538","description":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9550","description":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUCCIMER DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9551","description":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SUCCIMER DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9551","description":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SULFUR COLLOID DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9541","description":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SULFUR COLLOID DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9541","description":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9501","description":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9520","description":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9568","description":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9568","description":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0320","description":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0320","description":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T1014","description":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9110","description":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"98967","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98968","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98966","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98966","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[216572],"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":"TELESCOPIC AND OTH COMPOUND LENS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2615","description":"TELESCOPIC AND OTH COMPOUND LENS SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TRANSCUTANEOUS PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92953","description":"TEMPORARY TRANSCUTANEOUS PACING","negotiated_rates":[{"provider_references":[216572],"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":"TEMPORARY TRANSCUTANEOUS PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92953","description":"TEMPORARY TRANSCUTANEOUS PACING","negotiated_rates":[{"provider_references":[216572],"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":"TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0320","description":"TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.37,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.19,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.5,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.87,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.11,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.82,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.81,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.35,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.95,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.25,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.69,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.74,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"96020","description":"TEST SELECT and ADMN FUNCTL BRAIN MAP PHYS/QHP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"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":null,"billing_code":"90389","description":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT AND PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0509","description":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT AND PROV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT AND PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0509","description":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT AND PROV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT AND PROV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0508","description":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT AND PROV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT AND PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0508","description":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT AND PROV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":114.7989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED EMBRYO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89352","description":"THAWING CRYOPRESERVED EMBRYO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OOCYTES EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89356","description":"THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89353","description":"THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89354","description":"THAWING CRYOPRESERVED TESTICULAR/OVARIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97116","description":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97116","description":"THER PX 1 OR GT AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.98,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.22,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97113","description":"THER PX 1 OR GT AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97112","description":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97112","description":"THER PX 1 OR GT AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97124","description":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97124","description":"THER PX 1 OR GT AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.53,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.16,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97530","description":"THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2019","description":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2019","description":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2037","description":"THERAPEUTIC CAMPING DAY WAIVER; EACH SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2036","description":"THERAPEUTIC CAMPING OVERNIGHT WAIVER; EA SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4018F","description":"THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.91,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9610","description":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCEDURES GROUP 2 OR GT INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT INDIVIDUALS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.45,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.31,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.07,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97110","description":"THERAPEUTIC PX 1 OR GT AREAS EACH 15 MIN EXERCISES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOEMBOLIC RISK ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1180F","description":"THROMBOEMBOLIC RISK ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.33,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.55,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.69,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CONDITIONING MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D5851","description":"TISSUE CONDITIONING MANDIBULAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5850","description":"TISSUE CONDITIONING MAXILLARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0479","description":"TISSUE INSITU HYBRIDIZATION INCL INTERPRETATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4648","description":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4648","description":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4242F","description":"TLK RE SPRVSD XRCS PROG TO PTS BACK PN GT 12WKS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4174F","description":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4174F","description":"TLK VIS FXN and QUAL LIFE/TRXMNT FOR PT/CRGVR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.26,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CNSL CONTROL AND PREVENTION ORAL DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1320","description":"TOBACCO CNSL CONTROL AND PREVENTION ORAL DISEASE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1033F","description":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1033F","description":"TOBACCO NON-SMOKER AND NO 2NDHAND SMOKE EXPOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1000F","description":"TOBACCO USE ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4000F","description":"TOBACCO USE CESSATION IVNTJ COUNSELING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4001F","description":"TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0322","description":"TOMOGRAPHIC SURVEY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":353.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":353.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.4251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.4251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.8347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":353.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":353.4917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.4251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.4251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42820","description":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42820","description":"TONSILLECTOMY and ADENOIDECTOMY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.0722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":133.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOOTH REIMPL AND OR STBL ACC EVULSED DISPLCD TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7270","description":"TOOTH REIMPL AND OR STBL ACC EVULSED DISPLCD TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOOTH REIMPL and OR STBL ACC EVULSED/DISPLCD TOOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7270","description":"TOOTH REIMPL and OR STBL ACC EVULSED/DISPLCD TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOOTH REIMPL and OR STBL ACC EVULSED/DISPLCD TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7270","description":"TOOTH REIMPL and OR STBL ACC EVULSED/DISPLCD TOOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOOTH TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7272","description":"TOOTH TRANSPLANTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4736","description":"TOPICAL ANESTHETIC FOR DIALYSIS PER G","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D1208","description":"TOPICAL APPLICATION OF FLUORIDE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VARNISH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D1206","description":"TOPICAL APPLICATION OF FLUORIDE VARNISH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 VARNISH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1206","description":"TOPICAL APPLICATION OF FLUORIDE VARNISH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4575","description":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8040","description":"TOPOGRAPHIC BRAIN MAPPING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9522","description":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9522","description":"TOT #ED VISITS and IP GT or equal to 2 PAST 12 MO/NO SCR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1008.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1008.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":695.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":695.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":829.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":829.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22857","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1057.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1057.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":720.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":720.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":833.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":833.1921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22858","description":"TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22860","description":"TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SECOND INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22860","description":"TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1008.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1008.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":695.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":695.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":829.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":829.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1008.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1008.9443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":224.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":224.1735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":695.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":695.4568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":829.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":829.8721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.7582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1057.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1057.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":720.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":720.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":833.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":833.1921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22857","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1057.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1057.3656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.1389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.8335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":720.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":720.4975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":833.1921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":833.1921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9521","description":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9521","description":"TOTAL NUMBER ED VISITS and IP HOSP LT 2 PAST 12 M","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.23,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.08,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.62,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.58,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.97,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.7,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.34,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.06,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.49,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.84,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.3184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.3184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.3184,"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":null,"billing_code":"S8189","description":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8808","description":"TRANS-ABD/TRANS-VAG U/S NOT PRFRM RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF REASON DOC CLIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8807","description":"TRANSABD/TRANSVAG U/S NOT PERF RSN DOC CLINICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"0345T","description":"TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.0766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.0766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34712","description":"TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.0766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.0766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.5585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.5585,"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":null,"billing_code":"0339T","description":"TRANSCATHETER RENAL SYMPATH DENERVATION BILAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0338T","description":"TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58345","description":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58345","description":"TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":157.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.1765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9157","description":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9157","description":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER OF CARE CHECKLIST NOT USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0584F","description":"TRANSFER OF CARE CHECKLIST NOT USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NOT USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0584F","description":"TRANSFER OF CARE CHECKLIST NOT USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0583F","description":"TRANSFER OF CARE CHECKLIST USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99495","description":"TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99496","description":"TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99496","description":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99496","description":"TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99495","description":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99495","description":"TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":155.2474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":155.2474,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9277","description":"TRANSMITTER; EXT USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 WITH NONDME INTRSTL CGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9277","description":"TRANSMITTER; EXT USE WITH NONDME INTRSTL CGM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 INTERSTITIAL CONT GLU MON SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9277","description":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S1036","description":"TRANSMITTER; EXT USE W/ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2367.9902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2367.9902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55874","description":"TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2367.9902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2367.9902,"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":null,"billing_code":"S9975","description":"TRANSPLANT REL LODG MEALS AND TRNSPRT PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANCILLARY: PARKING FEES TOLLS OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0170","description":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ANCILLARY: PARKING FEES TOLLS OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0170","description":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSSEPTAL FIBEROT SUPRA CRESTAL FIBEROT BR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7291","description":"TRANSSEPTAL FIBEROT SUPRA CRESTAL FIBEROT BR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7291","description":"TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7291","description":"TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0390","description":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A4714","description":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RC OBSTRUCTION; NON-SURGICAL ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3331","description":"TREATMENT RC OBSTRUCTION; NON-SURGICAL ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RC OBSTRUCTION; NON-SURGICAL ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3331","description":"TREATMENT RC OBSTRUCTION; NON-SURGICAL ACCESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SIMULATION USING 3D IMAGE VOLUME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D0393","description":"TREATMENT SIMULATION USING 3D IMAGE VOLUME","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0117","description":"TRETINOIN TOPICAL 5 GRAMS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0326U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0326U","description":"TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83 Plus","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7683","description":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J7684","description":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0508","description":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9212","description":"TRIGEMINAL DIVISION BLOCK ANESTHESIA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.88,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.17,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0127","description":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0127","description":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"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":null,"billing_code":"D5937","description":"TRISMUS APPLIANCE NOT FOR TMD TREATMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DILAT AQUEOUS CANAL W/DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.2184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.2184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.6626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":334.3196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.6336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.2184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.2184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66174","description":"TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.5614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.2184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.2184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":355.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38208","description":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38215","description":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38210","description":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":46.7613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38214","description":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38212","description":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38211","description":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"S9992","description":"TRNSPRT COSTS CLIN TRIAL PRTCP AND ONE CAREGIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2007","description":"TRNSPRT WAIT TIME AIR AMB and NON-EMERG VEH 1/2 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":906.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":906.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.6386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":819.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":906.6775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":906.6775,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1261.6188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1261.6188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1391.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1391.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1519.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1519.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53860","description":"TRURL RF FEMALE BLADDER NECK STRS URIN INCONT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":106.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1261.6188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1261.6188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":127.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1391.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1391.3813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1519.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1519.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4167","description":"TRUSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4167","description":"TRUSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBOTUBAL ANASTATOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58750","description":"TUBOTUBAL ANASTATOMOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBOTUBAL ANASTATOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58750","description":"TUBOTUBAL ANASTATOMOSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBOUTERINE IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58752","description":"TUBOUTERINE IMPLANTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.7336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.7336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBOUTERINE IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58752","description":"TUBOUTERINE IMPLANTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.7336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.7336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.5295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5050F","description":"TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9930","description":"TX COMPLICATIONS - UNUSUAL CIRCUMSTANCES REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.39,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.74,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.96,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.21,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.57,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.03,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PARENTERAL DRUGS 2 OR GRT ADMINISTRATIONS DIFF MED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D9612","description":"TX PARENTERAL DRUGS 2 OR GRT ADMINISTRATIONS DIFF MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9612","description":"TX PARENTERAL DRUGS 2 OR GT ADMINISTRATIONS DIFF MED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0354","description":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0353","description":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0738T","description":"TX PLANNING MAG FLD INDCTJ ABLTJ MAL PRST8 TISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0238","description":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0238","description":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0239","description":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0239","description":"TX PROC IMPRV RESP FUNCT/INCR RESP MUSC 2 OR GT IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4541F","description":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4541F","description":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D3220","description":"TX PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3220","description":"TX PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SPEECH LANG VOICE COMMJ and /AUDITORY PROC IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUDITORY PROC IND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"5020F","description":"TX SUMM RPRT COMMUN PHYS AND PT 1 MO COMPLETE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.86,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.6,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.52,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.71,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.29,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.38,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMBRANE MOBILITY ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2035F","description":"TYMPANIC MEMBRANE MOBILITY ASSESS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1052F","description":"TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tooth transplantation","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7272","description":"Tooth transplantation","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tooth transplantation","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7272","description":"Tooth transplantation","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9007","description":"ULTRAFILTRATION MONITOR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S8055","description":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"J3590","description":"UNCLASSIFIED BIOLOGICS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47379","description":"UNLIS LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49659","description":"UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS MISC PATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89240","description":"UNLIS MISC PATH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95999","description":"UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIST MODALITY SPEC TYPE AND TIME CONSTANT ATTEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97039","description":"UNLIST MODALITY SPEC TYPE AND TIME CONSTANT ATTEND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 SRVC/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 AMBULANCE SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0999","description":"UNLISTED AMBULANCE SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CARDIAC SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33999","description":"UNLISTED CARDIAC SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"93799","description":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHEMISTRY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84999","description":"UNLISTED CHEMISTRY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"96549","description":"UNLISTED CHEMOTHERAPY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"21299","description":"UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88299","description":"UNLISTED CYTOGENETIC STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88199","description":"UNLISTED CYTOPATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"91299","description":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"59897","description":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"85999","description":"UNLISTED HEMATOLOGY AND COAGULATION PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99600","description":"UNLISTED HOME VISIT SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"58579","description":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90399","description":"UNLISTED IMMUNE GLOBULIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86849","description":"UNLISTED IMMUNOLOGY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 IN VIVO LABORTORY SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88749","description":"UNLISTED IN VIVO LABORTORY SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAPAROSCOPIC PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43289","description":"UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47379","description":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47379","description":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAPAROSCOPIC PX ABD PERTONEUM AND OMENTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49329","description":"UNLISTED LAPAROSCOPIC PX ABD PERTONEUM AND OMENTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44979","description":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"47579","description":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"51999","description":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"60659","description":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"43289","description":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"58679","description":"UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT OVARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"58679","description":"UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"45499","description":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"50549","description":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"38129","description":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"54699","description":"UNLISTED LAPAROSCOPY PROCEDURE TESTIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"50949","description":"UNLISTED LAPAROSCOPY PROCEDURE URETER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"58578","description":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABD PERTONEUM and OMENTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49329","description":"UNLISTED LAPAROSCOPY PX ABD PERTONEUM and OMENTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ABD PERTONEUM and OMENTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49329","description":"UNLISTED LAPAROSCOPY PX ABD PERTONEUM and OMENTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44238","description":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"38589","description":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"59898","description":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"55559","description":"UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49659","description":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49659","description":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"21089","description":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87999","description":"UNLISTED MICROBIOLOGY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"87999","description":"UNLISTED MICROBIOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89240","description":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"97039","description":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MOLECULAR PATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81479","description":"UNLISTED MOLECULAR PATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81599","description":"UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"21499","description":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88099","description":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88099","description":"UNLISTED NECROPSY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"95999","description":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"93998","description":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPHTHALMOLOGICAL SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92499","description":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 OPHTHALMOLOGICAL SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92499","description":"UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["02","10","11","15","17","20","49","50","60","65","71","72"]}]}]},{"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"49999","description":"UNLISTED PROCEDURE ABDOMEN PERITONEUM AND OMENTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"31299","description":"UNLISTED PROCEDURE ACCESSORY SINUSES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"66999","description":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"46999","description":"UNLISTED PROCEDURE ANUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"29999","description":"UNLISTED PROCEDURE ARTHROSCOPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"47999","description":"UNLISTED PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"19499","description":"UNLISTED PROCEDURE BREAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"33999","description":"UNLISTED PROCEDURE CARDIAC SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"29799","description":"UNLISTED PROCEDURE CASTING/STRAPPING","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COLON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45399","description":"UNLISTED PROCEDURE COLON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45399","description":"UNLISTED PROCEDURE COLON","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"68399","description":"UNLISTED PROCEDURE CONJUNCTIVA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"39599","description":"UNLISTED PROCEDURE DIAPHRAGM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"60699","description":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43499","description":"UNLISTED PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43499","description":"UNLISTED PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"15999","description":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"69399","description":"UNLISTED PROCEDURE EXTERNAL EAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"67399","description":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"67999","description":"UNLISTED PROCEDURE EYELIDS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"27599","description":"UNLISTED PROCEDURE FEMUR/KNEE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"28899","description":"UNLISTED PROCEDURE FOOT/TOES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"25999","description":"UNLISTED PROCEDURE FOREARM/WRIST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"26989","description":"UNLISTED PROCEDURE HANDS/FINGERS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"38999","description":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"24999","description":"UNLISTED PROCEDURE HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"69949","description":"UNLISTED PROCEDURE INNER EAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"68899","description":"UNLISTED PROCEDURE LACRIMAL SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"31599","description":"UNLISTED PROCEDURE LARYNX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"27899","description":"UNLISTED PROCEDURE LEG/ANKLE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"40799","description":"UNLISTED PROCEDURE LIPS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"47399","description":"UNLISTED PROCEDURE LIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"32999","description":"UNLISTED PROCEDURE LUNGS AND PLEURA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"55899","description":"UNLISTED PROCEDURE MALE GENITAL SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"59899","description":"UNLISTED PROCEDURE MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"39499","description":"UNLISTED PROCEDURE MEDIASTINUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"69799","description":"UNLISTED PROCEDURE MIDDLE EAR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"20999","description":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"21899","description":"UNLISTED PROCEDURE NECK/THORAX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NERVOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64999","description":"UNLISTED PROCEDURE NERVOUS SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 NERVOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64999","description":"UNLISTED PROCEDURE NERVOUS SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"30999","description":"UNLISTED PROCEDURE NOSE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"67599","description":"UNLISTED PROCEDURE ORBIT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"42299","description":"UNLISTED PROCEDURE PALATE UVULA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"48999","description":"UNLISTED PROCEDURE PANCREAS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"27299","description":"UNLISTED PROCEDURE PELVIS/HIP JOINT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"42999","description":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"67299","description":"UNLISTED PROCEDURE POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45999","description":"UNLISTED PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45999","description":"UNLISTED PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"23929","description":"UNLISTED PROCEDURE SHOULDER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44799","description":"UNLISTED PROCEDURE SMALL INTESTINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"22899","description":"UNLISTED PROCEDURE SPINE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"43999","description":"UNLISTED PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"69979","description":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"77499","description":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"41599","description":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"31899","description":"UNLISTED PROCEDURE TRACHEA BRONCHI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"53899","description":"UNLISTED PROCEDURE URINARY SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"36299","description":"UNLISTED PROCEDURE VASCULAR INJECTION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"37799","description":"UNLISTED PROCEDURE VASCULAR SURGERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"40899","description":"UNLISTED PROCEDURE VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90899","description":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"94799","description":"UNLISTED PULMONARY SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"22999","description":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"58999","description":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"44899","description":"UNLISTED PX MECKEL'S DIVERTICULUM AND MESENTERY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"42699","description":"UNLISTED PX SALIVARY GLANDS/DUCTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"17999","description":"UNLISTED PX SKIN MUC MEMBRANE AND SUBQ TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"89398","description":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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/PROCED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99199","description":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"88399","description":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"96379","description":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"86999","description":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"76999","description":"UNLISTED US PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90749","description":"UNLISTED VACCINE/TOXOID","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"37501","description":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9310","description":"UNPLANNED HOSP READMISSION W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"Q0181","description":"UNS ORAL DOSAGE ANTI-EMETIC NOT GT 48 HR DOSE REG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5899","description":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G0257","description":"UNSCHD/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D4920","description":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5150","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S5151","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D9999","description":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0999","description":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D3999","description":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D6999","description":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D6199","description":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5999","description":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7999","description":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D8999","description":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D4999","description":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D1999","description":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D2999","description":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D7899","description":"UNSPECIFIED TMD THERAPY BY REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXT ADD TEST SCKT/INTERFACE PRTL HND FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6029","description":"UPPER EXT ADD TEST SCKT/INTERFACE PRTL HND FNGR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 EXT ADD TEST SCKT/INTERFACE PRTL HND FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6029","description":"UPPER EXT ADD TEST SCKT/INTERFACE PRTL HND FNGR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADDITION EXT FRAME PRTL HND FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6030","description":"UPPER EXTREMITY ADDITION EXT FRAME PRTL HND FNGR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ADDITION EXT FRAME PRTL HND FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6030","description":"UPPER EXTREMITY ADDITION EXT FRAME PRTL HND FNGR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3141F","description":"UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3140F","description":"UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3130F","description":"UPPER GI ENDOSCOPY PERFORMED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3999","description":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50705","description":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1136.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1136.0648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50705","description":"URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS and I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1136.0648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1136.0648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8709","description":"URI EP HAD COMPETING DX ON/3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0509F","description":"URINARY INCONTINENCE PLAN OF CARE DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE INCONTINENCE CHARACTERIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1091F","description":"URINE INCONTINENCE CHARACTERIZED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABLATJ UTERINE LEIOMYOMAT GT EQUAL 200 CC TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0072T","description":"US ABLATJ UTERINE LEIOMYOMAT GT EQUAL 200 CC TISS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0071T","description":"US ABLATJ UTERINE LEIOMYOMATA LT 200 CC TISSUE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE ASPIRATION OVA IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76948","description":"US GUIDANCE ASPIRATION OVA IMG S AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE ASPIRATION OVA IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76948","description":"US GUIDANCE ASPIRATION OVA IMG S AND I","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":87.2097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76883","description":"US NRV and ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6040F","description":"USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4265F","description":"USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4266F","description":"USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"T2035","description":"UTIL SRVC SUPP MED EQP and ASSTIV TECH/DEVC WAIVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ambulance service","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0999","description":"Unlisted ambulance service","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 ambulance service","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0999","description":"Unlisted ambulance service","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90393","description":"VACCINIA IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2499","description":"VARIABLE SPHERICITY LENS OTHER TYPE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55200","description":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55200","description":"VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.9044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":21.2764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.9014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.1777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY VASOGRAMS UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55300","description":"VASOTOMY VASOGRAMS UNI/BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOTOMY VASOGRAMS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55300","description":"VASOTOMY VASOGRAMS UNI/BI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":91.4183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOVASOSTOMY VASOVASORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55400","description":"VASOVASOSTOMY VASOVASORRHAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.2141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.8711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.8711,"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":null,"billing_code":"S9439","description":"VBAC CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"T2039","description":"VEHICLE MODIFICATIONS WAIVER; PER SERVICE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D2983","description":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2983","description":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"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":null,"billing_code":"A4918","description":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4069F","description":"VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94004","description":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94004","description":"VENTILATION ASSIST AND MGMT NURSING FAC PR DAY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8565","description":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8565","description":"VERIFICATION and DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFY CORRECT PT SITE PXD DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6100F","description":"VERIFY CORRECT PT SITE PXD DOCUMENTED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9090","description":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0277","description":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D5991","description":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S9476","description":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7340","description":"VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7340","description":"VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT W SOFT TISS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7350","description":"VESTIBULOPLASTY RIDGE EXT W SOFT TISS GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"D7350","description":"VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7350","description":"VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0416","description":"VIRAL CULTURE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0770T","description":"VIRTUAL REALITY TECHNOLOGY TO ASSIST THERAPY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"D0393","description":"VIRTUAL TREATMENT SIM 3D IMAGE VOLUME/SURF SCAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"V2799","description":"VISION ITEM OR SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G2211","description":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2211","description":"VISIT CPLX INHERENT E and M ASSOC WITH MED CARE SRVC","negotiated_rates":[{"provider_references":[216572],"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":"VISN SPL ACSS and / SRVC CMPNT ANOTHER HCPCS CODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2797","description":"VISN SPL ACSS and / SRVC CMPNT ANOTHER HCPCS CODE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0333T","description":"VISUAL EVOKED POTENTIAL ACUITY SCREENING AUTO","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0378T","description":"VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TECH SUPPORT W/INSTRUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0379T","description":"VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 TECH SUPPORT W/INSTRUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0379T","description":"VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1055F","description":"VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL SIGNS RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2010F","description":"VITAL SIGNS RECORDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":629.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":629.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67042","description":"VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.1185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":517.1562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":629.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":629.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67043","description":"VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":472.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.5368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":674.5078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":68.0376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[216572],"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":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36400","description":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[216572],"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":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","negotiated_rates":[{"provider_references":[216572],"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":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36406","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[216572],"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":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36406","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[216572],"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":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36405","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[216572],"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":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36405","description":"VNPNXR LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[216572],"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":"VR PX DISSOC SVC OTH PHYS/QHP 1ST 15 MIN 5YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0773T","description":"VR PX DISSOC SVC OTH PHYS/QHP 1ST 15 MIN 5YR OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0774T","description":"VR PX DISSOC SVC OTHER PHYS/QHP EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0771T","description":"VR PX DISSOC SVC SAME PHYS/QHP 1ST 15 MIN 5YR OR GT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"0772T","description":"VR PX DISSOC SVC SAME PHYS/QHP EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":425.7379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":425.7379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":583.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":583.0895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67040","description":"VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":112.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":425.7379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":425.7379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.3949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":583.0895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":583.0895,"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":null,"billing_code":"T2025","description":"WAIVER SERVICES; NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4012F","description":"WARFARIN THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G8967","description":"WARFARIN/ANR FDA APRVD ORAL ANTICOAGULANT PRESC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN/ANR FDA-APV AC NOT PRSC REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9928","description":"WARFARIN/ANR FDA-APV AC NOT PRSC REASON NOT GVN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.85,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.59,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","51","52","55","56","61","62"]}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"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":null,"billing_code":"S9449","description":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 RECORDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT RECORDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2001F","description":"WEIGHT RECORDED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":null,"billing_code":"S5190","description":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.75,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 BODY INTEGUMENTARY PHOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96904","description":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96904","description":"WHOLE BODY INTEGUMENTARY PHOTOGRAPHY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIG ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9282","description":"WIG ANY TYPE EACH","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9471","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED/DOC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9708","description":"WOMEN WHO HAD BIL MASTECTOMY/HX BIL MASTECTOMY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G9822","description":"WOMEN WHO HAD EA DUR YEAR PRI TO INDEX DATE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":null,"billing_code":"97545","description":"WORK HARDENING/CONDITIONING 1ST 2 HR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"97546","description":"WORK HARDENING/CONDITIONING EACH HOUR","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99456","description":"WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"99455","description":"WORK RELATED/MED DBLT XM TREATING PHYS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2050F","description":"WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLEANSERS ANY TYPE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6260","description":"WOUND CLEANSERS ANY TYPE ANY SIZE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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 CLOSURE UTILIZING TISSUE ADHESIVE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0168","description":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0168","description":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":63.8291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND SURFACE CULTURE TECHNIQUE USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4260F","description":"WOUND SURFACE CULTURE TECHNIQUE USED","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND WARMING WOUND COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0232","description":"WOUND WARMING WOUND COVER","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4162","description":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4162","description":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.3573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.3573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66991","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1 Plus","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.6656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.0433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.3573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.3573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94617","description":"XERS TST BRNCSPSM PRE and POST SPMTRY and PLS OX W/ECG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":23.3806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":42.5527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":65.9334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.3566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":489.3566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":489.3566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":3774.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3774.77,"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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_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":3774.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3774.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"A9543","description":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZIDOVUDINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S0104","description":"ZIDOVUDINE ORAL 100 MG","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":null,"billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","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":[216572],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}